Graduated: 2010
NPI: 1982911681
Practice Locations (2)
AAS INDIANA LLC
4105 DICKE RD
FORT WAYNE, IN 468046135
2602681000
INDIANA ANESTHESIA LLC
9202 N MERIDIAN ST, SUITE 150
INDIANAPOLIS, IN 462601833
3178412020
Source: CMS National Downloadable File, September 2026.