Medical school: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated: 1982
NPI: 1487637377
Practice Locations (2)
10323 DAWSON'S CREEK BLVD BLDG, 10C
FORT WAYNE, IN 468251910
10323 DAWSONS CREEK BLVD, BLDG 10C
FORT WAYNE, IN 468251910
2604909668
Source: CMS National Downloadable File, September 2026.