Graduated: 2014
NPI: 1124424262
Practice Locations (3)
SURGERY ONE ANESTHESIA LLC
5050 N CLINTON ST
FORT WAYNE, IN 468255886
2604848551
SURGERY ONE ANESTHESIA LLC
5052 N CLINTON ST
FORT WAYNE, IN 468255822
CLINICAL COLLEAGUES INC
2001 STULTS RD
HUNTINGTON, IN 467501291
2603553000
Source: CMS National Downloadable File, September 2026.