Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1669579058
Practice Locations (6)
LEGACY PATH LLC
3355 DOUGLAS RD
SOUTH BEND, IN 466351779
5742344176
SOUTH BEND MEDICAL FOUNDATION INC
530 N LAFAYETTE BLVD
SOUTH BEND, IN 466011004
5742344176
SOUTH BEND MEDICAL FOUNDATION INC
1521 GULL RD
KALAMAZOO, MI 490481640
2692667231
LEGACY PATH LLC
1521 GULL RD
KALAMAZOO, MI 490481640
2692267231
CONSULTANTS IN LABORATORY MEDICINE OF GREATER TOLEDO
718 N MACOMB ST
MONROE, MI 481627815
7342408400
CONSULTANTS IN LABORATORY MEDICINE OF GREATER TOLEDO
2130 W CENTRAL AVE, SUITE 300
TOLEDO, OH 436063819
4195343500
Source: CMS National Downloadable File, September 2026.