Graduated: 2023
NPI: 1013604966
Practice Locations (2)
EMERGENCY PROFESSIONALS OF INDIANA PC
7950 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
2604352699
LAKE MICHIGAN EMERGENCY SPECIALISTS, PLLC
1500 E SHERMAN BLVD, MERCY CAMPUS
MUSKEGON, MI 494441849
2317284601
Source: CMS National Downloadable File, September 2026.