Graduated: 2005
NPI: 1275795379
Practice Locations (3)
LUTHERAN MEDICAL GROUP LLC
2516 E DUPONT RD
FORT WAYNE, IN 468251608
2604346076
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.