Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1993
NPI: 1619957164
Practice Locations (1)
OSH-IN PHYSICIANS GROUP PC
436 E WASHINGTON BLVD, FORT WAYNE
FORT WAYNE, IN 468023210
2602097111
Source: CMS National Downloadable File, September 2026.