Graduated: 2020
NPI: 1831720770
Practice Locations (2)
ORTHOPAEDICS NORTHEAST PC
5050 N CLINTON ST
FORT WAYNE, IN 468255886
2604848551
ORTHOPAEDICS NORTHEAST PC
8202 GLENCARIN BLVD, SUITE 300
FORT WAYNE, IN 468045783
2604848551
Source: CMS National Downloadable File, September 2026.