Graduated: 2021
NPI: 1255099263
Practice Locations (2)
FAST PACE MEDICAL CLINIC PLLC
4152 W STATE RD, SUITE 56
HANOVER, IN 472439070
9013511791
FAST PACE MEDICAL CLINIC PLLC
1320 W STATE RD, SUITE 2
LA PORTE, IN 463504666
2197276431
Source: CMS National Downloadable File, September 2026.