Graduated: 1973
NPI: 1710063292
Practice Locations (2)
IMPACT PHYSICIAN GROUP INDIANA LLC
13219 N MERIDIAN ST
CARMEL, IN 460325480
8478216828
IMPACT PHYSICIAN GROUP INDIANA LLC
4488 ROSLIN RD
NEWBURGH, IN 476308590
8127104038
Source: CMS National Downloadable File, September 2026.