Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1991
NPI: 1902912371
Practice Locations (2)
1200 PEQUAWKET TRL
STEEP FALLS, ME 040855904
2076753121
1200 PEQUAWKET TRL, SUITE 39
STEEP FALLS, ME 040855904
Source: CMS National Downloadable File, September 2026.