Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1174059109
Practice Locations (2)
FORT WAYNE DERMATOLOGY CONSULTANTS INC
7881 CARNEGIE BLVD
FORT WAYNE, IN 468045792
2604368000
FORT WAYNE DERMATOLOGY CONSULTANTS INC
208 COLUMBUS ST
HICKSVILLE, OH 435261250
2604368000
Source: CMS National Downloadable File, September 2026.