| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1467816934 | DILLER | DUSTIN | 3702 NEW VISION DR BLDG B | FORT WAYNE | IN | 468451703 | ||
| 1790354835 | LEINS | LAURA | JEAN | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 | |
| 1154872653 | LEISURE | AMANDA | M | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 | |
| 1003865395 | MAYLE | AMANDA | L | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 | |
| 1548420474 | SOUDER | MARLA | J | 3702 NEW VISION DR BLDG B | FORT WAYNE | IN | 468451703 |