Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1134110430
Practice Locations (2)
LUTHERAN MEDICAL GROUP LLC
2516 E DUPONT RD
FORT WAYNE, IN 468251608
2604346076
LUTHERAN MEDICAL GROUP LLC
7980 W JEFFERSON BLVD
FORT WAYNE, IN 468044170
2604591587
Source: CMS National Downloadable File, September 2026.