Graduated: 2005
NPI: 1194823989
Practice Locations (2)
FORT WAYNE DERMATOLOGY CONSULTANTS INC
11635 COLDWATER RD
FORT WAYNE, IN 468451256
2604368000
FORT WAYNE DERMATOLOGY CONSULTANTS INC
7881 CARNEGIE BLVD
FORT WAYNE, IN 468045792
2604368000
Source: CMS National Downloadable File, September 2026.