Graduated: 2019
NPI: 1841012697
Practice Locations (2)
MERIDIAN HEALTH SERVICES CORP
2622 LAKE AVE, SUITE 1
FORT WAYNE, IN 468055410
7652881928
IU HEALTH MEDICAL GROUP, LLC
7956 W JEFFERSON BLVD
FORT WAYNE, IN 468044140
8884843258
Source: CMS National Downloadable File, September 2026.