Graduated: 1991
NPI: 1730336165
Practice Locations (2)
AEGIS GROUP PRACTICE LLC
1717 MAPLECREST RD
FORT WAYNE, IN 468157656
2604795242
AEGIS GROUP PRACTICE LLC
3060 VALLEY FARMS RD
INDIANAPOLIS, IN 462144501
8004446845
Source: CMS National Downloadable File, September 2026.