Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1995
NPI: 1932133386
Practice Locations (2)
MAINEHEALTH
108 CENTRE ST
BATH, ME 045302550
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
Source: CMS National Downloadable File, September 2026.