Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2004
NPI: 1972774784
Practice Locations (2)
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 041023134
2078859905
MAINEHEALTH
887 CONGRESS ST, SUITE 200
PORTLAND, ME 041023166
2077715549
Source: CMS National Downloadable File, September 2026.