Graduated: 2005
NPI: 1003458613
Practice Locations (3)
444 STILLWATER AVE, SUITE 104
BANGOR, ME 044013500
2076596510
97 LINCOLN ST, APT A
DOVER FOXCROFT, ME 044261329
261 WOODLAND AVE
OLD TOWN, ME 044685925
Source: CMS National Downloadable File, September 2026.