Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1003868597
Practice Locations (2)
NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC
7836 W JEFFERSON BLVD, 101 NEPHROLOGY ASSOCIATES OF NORTHERN INDIA
FORT WAYNE, IN 468044178
2604943484
NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC
1250 S WASHINGTON
VAN WERT, OH 458912551
8006863963
Source: CMS National Downloadable File, September 2026.