Graduated: 2007
Offers telehealth
NPI: 1467630061
Practice Locations (3)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
11143 PARKVIEW PLAZA DR, SUITE 311
FORT WAYNE, IN 468451727
8604 ALLISONVILLE RD, SUITE 325
INDIANAPOLIS, IN 462500048
Source: CMS National Downloadable File, September 2026.