Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1770573040
Practice Locations (2)
THE SOUTH BEND CLINIC LLC
8984 E US HWY 20
NEW CARLISLE, IN 465529038
5742348161
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.