Medical school: MARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1861952202
Practice Locations (2)
PARKVIEW HEALTH SYSTEM INC
11141 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 468451714
2604256030
KENTUCKY MEDICAL SERVICES FOUNDATION, INC
800 ROSE ST
LEXINGTON, KY 405360001
8593235000
Source: CMS National Downloadable File, September 2026.