Graduated: 2012
NPI: 1689934747
Practice Locations (2)
DEACONESS MEMORIAL MEDICAL CENTER INC
4 W VINE ST
DALE, IN 475239061
8129377140
DEACONESS MEMORIAL MEDICAL CENTER INC
4 W VINE ST, MEMORIAL HOSPITAL AND HEALTH CARE
DALE, IN 475239061
8129377140
Source: CMS National Downloadable File, September 2026.