Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2001
NPI: 1588603708
Practice Locations (2)
PROFESSIONAL EMERGENCY PHYSICIANS PC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
2602661000
EMERGENCY PROFESSIONALS OF INDIANA PC
7950 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
2604352699
Source: CMS National Downloadable File, September 2026.