Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1972565026
Practice Locations (1)
DEACONESS MEMORIAL MEDICAL CENTER INC
407 E 22ND ST, MEMORIAL HOSPITAL AND HEALTH CARE CTR
HUNTINGBURG, IN 475428964
8129963612
Source: CMS National Downloadable File, September 2026.