Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2002
NPI: 1235101825
Practice Locations (3)
CENTRAL MAINE MEDICAL CENTER
17 HIGH ST
LEWISTON, ME 042407614
CENTRAL MAINE MEDICAL CENTER
300 MAIN ST
LEWISTON, ME 042407027
2077533900
THE MONROE CLINIC, INC.
515 22ND AVE
MONROE, WI 535661569
6083242000
Source: CMS National Downloadable File, September 2026.