Graduated: 2020
NPI: 1053923979
Practice Locations (2)
FORT WAYNE ORTHOPAEDICS, LLC
7601 W JEFFERSON BLVD
FORT WAYNE, IN 468044133
2604368686
PIC INDIANA PC
920 E COLISEUM BOULEVARD, PHYSICIANS URGENT CARE
FORT WAYNE, IN 468051329
2604988077
Source: CMS National Downloadable File, September 2026.