Graduated: 2007
NPI: 1629250162
Practice Locations (2)
IU HEALTH MEDICAL GROUP, LLC
1701 N SENATE AVE
INDIANAPOLIS, IN 462025306
3179622000
A4 OF OHIO LLC
5959 MONCLOVA RD
MAUMEE, OH 435371888
4198935911
Source: CMS National Downloadable File, September 2026.