Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1978
NPI: 1093791964
Practice Locations (2)
BUCKSPORT REGIONAL HEALTH CENTER
110 BUCKSPORT
Bucksport, ME 04416
BUCKSPORT REGIONAL HEALTH CENTER
110 BROADWAY
BUCKSPORT, ME 044164612
2074697371
Source: CMS National Downloadable File, September 2026.