Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Also: UNDERSEA AND HYPERBARIC MEDICINE
NPI: 1346221165
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
3909 NEW VISION DR, PPG FIRST CARE WALK IN CLINIC
FORT WAYNE, IN 468451725
2604696610
Source: CMS National Downloadable File, September 2026.