Graduated: 2023
NPI: 1598539868
Practice Locations (4)
268 STILLWATER AVE
BANGOR, ME 044013980
97 LINCOLN ST APT A
Dover Foxcroft, ME 044261332
249 BUCKSPORT RD
ELLSWORTH, ME 046052733
2076106150
PO BOX, SUITE 1769
ELLSWORTH, ME 04605
Source: CMS National Downloadable File, September 2026.