Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
Also: SPORTS MEDICINE
NPI: 1881776359
Practice Locations (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC
611 E DOUGLAS RD, SUITE 137 SPORTS MEDICINE INSTITUTE
MISHAWAKA, IN 465451464
5743356214
Source: CMS National Downloadable File, September 2026.