Graduated: 1989
NPI: 1205803632
Practice Locations (3)
LUTHERAN MEDICAL GROUP LLC
2510 E DUPONT RD, SUITE 206
FORT WAYNE, IN 468251602
2604165954
LUTHERAN MEDICAL GROUP LLC
7916 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
LUTHERAN MEDICAL GROUP LLC
1035 W WAYNE ST
PAULDING, OH 458791544
4193994080
Source: CMS National Downloadable File, September 2026.