Graduated: 2013
NPI: 1619391851
Practice Locations (2)
MEMORIAL HOSPITAL
1201 MICHIGAN AVE, SUITE 270
LOGANSPORT, IN 469471530
5747224921
PARKVIEW LOGANSPORT HOSPITAL INC
751 W 2ND ST, SUITE 100
PERU, IN 469701385
5747537541
Source: CMS National Downloadable File, September 2026.