Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1710948617
Practice Locations (3)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
4 GLEN COVE DR
ROCKPORT, ME 048564235
MAINEHEALTH
6 GLEN COVE DR
ROCKPORT, ME 048564272
2079218969
Source: CMS National Downloadable File, September 2026.