Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2022
NPI: 1225778301
Practice Locations (2)
PARKVIEW HEALTH SYSTEM INC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
2602662020
PROFESSIONAL EMERGENCY PHYSICIANS PC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
2602661000
Source: CMS National Downloadable File, September 2026.