Graduated: 2020
NPI: 1578198230
Practice Locations (2)
AAS INDIANA LLC
4105 DICKE RD
FORT WAYNE, IN 468046135
2602681000
COMMUNITY PHYSICIANS OF INDIANA INC
7150 CLEARVISTA DR
INDIANAPOLIS, IN 462561695
3176216262
Source: CMS National Downloadable File, September 2026.