Graduated: 2023
NPI: 1205549870
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.