| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114332566 | BRADBEE | BRIAN | PATRICK | | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 |
| 1790046779 | BRADBEE | LINDSAY | R | | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 |
| 1235176678 | KANNEY | R | O | | 442 W HIGH ST | BRYAN | OH | 435061681 |
| 1407010630 | MABUS | MARK | S | | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 |
| 1073708434 | POOL | LISA | | | 3702 NEW VISION DR | FORT WAYNE | IN | 468451703 |
| 1164467635 | SEAMAN | GLEN | T | | 3702 NEW VISION DR | FORT WAYNE | IN | 468451703 |
| 1336590660 | WYNNE | LARA | | | 11109 PARKVIEW PLAZA DR # 117 | FORT WAYNE | IN | 468451701 |