Graduated: 2002
NPI: 1215133715
Practice Locations (5)
6619 BROTHERHOOD WAY
FORT WAYNE, IN 468254226
500 W JEFFERSON ST
LOUISVILLE, KY 402022881
1335 STRASSNER DR
BRENTWOOD, MO 631441872
3460 S DIXIE DR
DAYTON, OH 454392304
2222 SULLIVAN TRAIL
EASTON, PA 180407958
Source: CMS National Downloadable File, September 2026.