Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1255396628
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
13 INDUSTRIAL PARK RD
SACO, ME 040721804
2072838800
Source: CMS National Downloadable File, September 2026.