Graduated: 2013
NPI: 1992108005
Practice Locations (2)
LUTHERAN MEDICAL GROUP LLC
7950 W JEFFERSON BLVD, LUTHERAN HOSPITAL
FORT WAYNE, IN 468044140
2604357001
FRANCISCAN PHYSICIAN NETWORK
3500 N FRANCISCAN WAY, SUITE 400
MICHIGAN CITY, IN 463600021
2198615539
Source: CMS National Downloadable File, September 2026.