David A. Appel, MD

Nancy L. Vitello Mikiska is a Certified Physician’s Assistant affiliated with Providence Spokane Cardiology. She brings expertise acquired from joining the practice in 2000, following her completion of the Physician Assistant program at Duke University in 1994. Nancy also holds a Bachelors of Science in Biology/Clinical Nutrition. As a registered Dietitian, she is dedicated to providing comprehensive care to her patients. With a focus on personalized health care, Nancy ensures her patients receive quality attention. She is known for her thoroughness, attentiveness, and ability to formulate effective treatment plans. Nancy's commitment to understanding her patients' needs and providing clear explanations sets her apart in delivering exceptional care. Patients value Nancy's knowledge, empathy, and dedication to their well-being. She excels in addressing concerns, offering valuable advice, and ensuring patients feel heard and supported throughout their healthcare journey. Nancy's approachable demeanor, combined with her professional competence, fosters a positive and reassuring experience for all those under her care. Generated from the website content

Dr. Thomas M. Klein is a highly skilled cardiologist specializing in cardiac arrhythmias, offering a comprehensive range of treatments including antiarrhythmic medications, device-based therapies, and catheter ablations. He is affiliated with Providence Medical Group and is dedicated to providing personalized healthcare tailored to each patient's needs. With a strong educational background, including a fellowship in Cardiology Electrophysiology, Dr. Klein is board-certified in both Cardiovascular Disease and Clinical Cardiac Electrophysiology. His commitment to patient care is reflected in positive feedback from patients who appreciate his attentive and reassuring approach. Generated from the website

Mark D. Harwood, MD, is a highly skilled cardiac electrophysiologist based in Spokane, WA, specializing in comprehensive care for arrhythmia management. His expertise includes pharmacologic treatment, ablations, and the insertion and management of pacemakers and defibrillators. Dr. Harwood is affiliated with Providence Medical Group and is dedicated to providing personalized healthcare, ensuring a positive experience for his patients. He is actively involved in his community and enjoys outdoor activities with his family, including running, hiking, and cycling. Generated from the website