Graduated: 2022
NPI: 1740905488
Practice Locations (4)
THREE RIVERS DERMATOLOGY, LLC
5650 COVENTRY LN
FORT WAYNE, IN 468047140
2604369696
THE SOUTH BEND CLINIC LLC
1802 DAY RD
MISHAWAKA, IN 465454329
5742047200
THE SOUTH BEND CLINIC LLC
1820 DAY RD
MISHAWAKA, IN 465454329
5742047501
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.