Graduated: 2012
NPI: 1417213729
Practice Locations (3)
FORT WAYNE DERMATOLOGY CONSULTANTS INC
815 HIGH ST
DECATUR, IN 467332351
2604368000
FORT WAYNE DERMATOLOGY CONSULTANTS INC
11635 COLDWATER RD
FORT WAYNE, IN 468451256
2604368000
FORT WAYNE DERMATOLOGY CONSULTANTS INC
7881 CARNEGIE BLVD
FORT WAYNE, IN 468045792
2604368000
Source: CMS National Downloadable File, September 2026.