Graduated: 1984
NPI: 1891766309
Practice Locations (2)
1935 N CAPITOL AVE, SUITE 200
INDIANAPOLIS, IN 462026403
3179313252
LUTHERAN MEDICAL GROUP LLC
1205 PROVIDENT DR, SUITE A
WARSAW, IN 465803265
5742698383
Source: CMS National Downloadable File, September 2026.