Graduated: 2022
NPI: 1336828961
Practice Locations (2)
HOSPITAL CARE GROUP PC
7970 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
2603444035
NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC
2500 N DETROIT ST
LAGRANGE, IN 467611158
2604632133
Source: CMS National Downloadable File, September 2026.