Graduated: 1999
NPI: 1275536211
Practice Locations (2)
LUTHERAN MEDICAL GROUP LLC
2516 E DUPONT RD
FORT WAYNE, IN 468251608
2604346076
LUTHERAN MEDICAL GROUP LLC
7910 W JEFFERSON BLVD
FORT WAYNE, IN 468044159
Source: CMS National Downloadable File, September 2026.