Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2017
NPI: 1871026229
Practice Locations (1)
LUTHERAN MEDICAL GROUP LLC
7910 W JEFFERSON BLVD, SUITE 112
FORT WAYNE, IN 468044159
2609697121
Source: CMS National Downloadable File, September 2026.