Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 1983
NPI: 1982654828
Practice Locations (2)
SULLIVAN COUNTY COMMUNITY HOSPITAL
2200 N SECTION ST
SULLIVAN, IN 478827523
8122684311
SULLIVAN COUNTY COMMUNITY HOSPITAL
HEALTH ANNEX, 2120 N SECTION ST
SULLIVAN, IN 478827518
81226843112383
Source: CMS National Downloadable File, September 2026.