Graduated: 1996
NPI: 1790711604
Practice Locations (2)
BOWEN HEALTH INC
2100 GOSHEN RD
FORT WAYNE, IN 468081493
5743853474
BEACON MEDICAL GROUP INC
707 N MICHIGAN ST, 400 BMG BEHAVIORAL HEALTH SOUTH BEND
SOUTH BEND, IN 466011071
5746478470
Source: CMS National Downloadable File, September 2026.