Graduated: 1998
NPI: 1932102605
Practice Locations (2)
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
THE SOUTH BEND CLINIC LLC
6301 UNIVERSITY COMMONS
SOUTH BEND, IN 466351416
5742348161
Source: CMS National Downloadable File, September 2026.