Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2011
NPI: 1275829699
Practice Locations (2)
MAINEHEALTH
887 CONGRESS ST, SUITE 200
PORTLAND, ME 041023166
2077715549
MAINEHEALTH
100 CAMPUS DR, SUITE 110
SCARBOROUGH, ME 040747172
2073967678
Source: CMS National Downloadable File, September 2026.