Graduated: 2000
NPI: 1033157599
Practice Locations (2)
EMERGENCY PROFESSIONALS OF INDIANA PC
7950 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
2604352699
RIVERVIEW HOSPITAL
395 WESTFIELD RD, WOUND CARE
NOBLESVILLE, IN 460601425
3177730760
Source: CMS National Downloadable File, September 2026.