Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2018
NPI: 1023513397
Practice Locations (1)
LUTHERAN MEDICAL GROUP LLC
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 468044128
2609697100
Source: CMS National Downloadable File, September 2026.