Graduated: 1996
NPI: 1619069606
Practice Locations (2)
INDIANA HEALTH CENTERS INC
765 S MICHIGAN ST
SOUTH BEND, IN 466013101
5742357990
INDIANA HEALTH CENTERS INC
765 S MICHIGAN ST, IHC MI STREET
SOUTH BEND, IN 466013101
5742357990
Source: CMS National Downloadable File, September 2026.