Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1999
NPI: 1457359226
Practice Locations (2)
EASTERN MAINE MEDICAL CENTER
417 STATE ST
BANGOR, ME 044016630
EASTERN MAINE MEDICAL CENTER
489 STATE ST
BANGOR, ME 044016616
2079737000
Source: CMS National Downloadable File, September 2026.