Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1386711984
Practice Locations (4)
10315 DAWSONS CREEK BLVD, SUITE F
FORT WAYNE, IN 468251912
2603876340105
10315 DAWSONS CREEK BLVD F
FORT WAYNE, IN 468251912
10315 DAWSONS CREEK BLVD, SUITE F
FT WAYNE, IN 468251912
1030 W WAYNE ST
PAULDING, OH 458791545
2603876340105
Source: CMS National Downloadable File, September 2026.