Graduated: 1997
NPI: 1649205311
Practice Locations (2)
ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA INC
2310 CALIFORNIA RD
ELKHART, IN 465141228
5742640791
BEACON HEALTH LLC
1815 E IRELAND RD, SUITE 100
SOUTH BEND, IN 466142845
5746475790
Source: CMS National Downloadable File, September 2026.