Graduated: 1990
NPI: 1235359050
Practice Locations (3)
MAINEGENERAL MEDICAL CENTER
35 MEDICAL CTR PKWY
AUGUSTA, ME 043308160
2076211000
YAKIMA VALLEY MEMORIAL PHYSICIANS
2811 TIETON DR
YAKIMA, WA 989023761
5095758000
GUNDERSEN LUTHERAN MEDICAL CENTER INC
1836 S AVE
LA CROSSE, WI 546015429
6087837300
Source: CMS National Downloadable File, September 2026.