Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1999
NPI: 1639168404
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 468451707
2604256650
Source: CMS National Downloadable File, September 2026.