207RA0201X
South Bend, IN
Specialty
207RA0201X
Credential
MD
NPI
1932198488
211 N. Eddy St., South Bend, IN 46617
(574) 234-8161Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 207ra0201x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207RA0201X