Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2013
NPI: 1780926147
Practice Locations (2)
INTERMED PA
100 FODEN RD
SOUTH PORTLAND, ME 041062327
2078741489
INTERMED PA
100 FODEN RD W, SUITE 100
SOUTH PORTLAND, ME 041062327
2075233900
Source: CMS National Downloadable File, September 2026.