Graduated: 2015
NPI: 1609258011
Practice Locations (2)
PROFESSIONAL EMERGENCY PHYSICIANS PC
2200 RANDALLIA DR
FORT WAYNE, IN 468054638
2603734000
PARKVIEW HEALTH SYSTEM INC
512 N PROFESSIONAL WAY
KENDALLVILLE, IN 467552927
2603478556
Source: CMS National Downloadable File, September 2026.