Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1275676843
Practice Locations (2)
MAINEGENERAL MEDICAL CENTER
149 N ST
WATERVILLE, ME 04901
2078721000
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
1025 MARSH ST
MANKATO, MN 560014752
5076254031
Source: CMS National Downloadable File, September 2026.