Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1699872705
Practice Locations (4)
11360 BROADWAY
CROWN POINT, IN 463077197
2197799721
9150 E 109TH AVE, SUITE 2D
CROWN POINT, IN 463077686
2197799721
9301 CONNECTICUT DR
CROWN POINT, IN 463077486
2197799721
519 N HALLECK ST, LEESTMA MEDICAL
DEMOTTE, IN 463109553
2197799721
Source: CMS National Downloadable File, September 2026.