Graduated: 2021
NPI: 1407519762
Practice Locations (2)
ORTHOPAEDICS NORTHEAST PC
5050 N CLINTON ST
FORT WAYNE, IN 468255886
2604848551
RADIANT DERMATOLOGY ASSOCIATES LLC
722 E TILL RD
FORT WAYNE, IN 468252066
2604874065
Source: CMS National Downloadable File, September 2026.