Graduated: 1978
NPI: 1346220993
Practice Locations (3)
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
LUTHERAN MEDICAL GROUP LLC
1205 PROVIDENT DR, SUITE A
WARSAW, IN 465803265
5742698383
Source: CMS National Downloadable File, September 2026.