Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1679101075
Practice Locations (2)
CEP AMERICA LLC
4321 FIR ST
EAST CHICAGO, IN 463123049
2193921700
COMMUNITY CARE NETWORK INC
9660 WICKER AVE
SAINT JOHN, IN 463739487
2193651166
Source: CMS National Downloadable File, September 2026.