Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1043294077
Practice Locations (1)
REDINGTON-FAIRVIEW GENERAL HOSPITAL
46 FAIRVIEW AVE, SUITE 113
SKOWHEGAN, ME 049761481
2074743697
Source: CMS National Downloadable File, September 2026.