Graduated: 1996
NPI: 1992148811
Practice Locations (2)
HOSPITALIST PHYSICIANS OF INDIANA PC
1331 STATE ST
LA PORTE, IN 463503112
2193261234
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST FL, 1 BEACON MEDICAL GROUP HOSPITAL SPEC
SOUTH BEND, IN 466011033
5746473050
Source: CMS National Downloadable File, September 2026.