Graduated: 2023
NPI: 1881435725
Practice Locations (2)
NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
2500 N DETROIT ST
LAGRANGE, IN 467611158
2604632133
NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
433 W HIGH ST
BRYAN, OH 435061690
2604632133111
Source: CMS National Downloadable File, September 2026.