Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1578876785
Practice Locations (2)
LUTHERAN MEDICAL GROUP LLC
2516 E DUPONT RD
FORT WAYNE, IN 468251608
2604346076
LUTHERAN MEDICAL GROUP LLC
3534 BROOKLYN AVE
FORT WAYNE, IN 468091361
2604322297
Source: CMS National Downloadable File, September 2026.