Graduated: 2013
NPI: 1013361708
Practice Locations (2)
LUTHERAN MEDICAL GROUP LLC
2520 E DUPONT RD, DUPONT HOSPITAL
FORT WAYNE, IN 468251675
2604322297
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
611 E DOUGLAS RD, 309 INFECTIOUS DISEASES
MISHAWAKA, IN 465451469
5743356770
Source: CMS National Downloadable File, September 2026.