Medical school: MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2022
NPI: 1194466870
Practice Locations (2)
11109 PARKVIEW PLAZA DR
Fort Wayne, IN 468451701
11109 PARKVIEW PLAZA DR, SUITE 117
FORT WAYNE, IN 468451701
Source: CMS National Downloadable File, September 2026.