Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
When it comes to providing high-caliber urological care, skillful urologist David Mikkelsen, MD, FACS, is renowned for his dedication, diligence, and compassion. Dr. Mikkelsen is board-certified by the American Board of Urology, offers urologic care, and treats a range of urological conditions and diseases at Spokane Urology in Spokane, Washington.
Dr. Mikkelsen is a native of the Inland Northwest in Washington. He was raised in Western Montana and attended Montana State University in Bozeman, Montana, before graduating from Northwestern University Feinberg School of Medicine in Chicago, Illinois.
He finished a urologic surgical residency and a surgical internship at Washington University in St. Louis, Missouri, before joining the qualified providers of Spokane Urology in 1990.
Dr. Mikkelsen holds admitting privileges at Deaconess Medical Center, Holy Family Hospital, Sacred Heart Medical Center, and Valley Hospital.
Passionate about sharing his knowledge and skills, Dr. Mikkelsen has instructed residents with the Family Medicine Spokane Residency Program affiliated with the University of Washington Department of Family Medicine in Seattle, Washington. His teaching activities have included both in-office instruction and didactic lectures.
Dr. Mikkelson offers the whole spectrum of urologic care, including the treatment of stone disease and incontinence surgery. He’s also developed a special interest in surgery for urologic cancers.
He helped develop an early and successful program for robotic-assisted urologic surgery utilizing the da Vinci® robotic system at Sacred Heart Medical Center. He continues to offer both open and laparoscopic approaches for a wide range of urologic malignancies.
Being outdoors is just one of Dr. Mikkelson’s hobbies away from the medical office. He also spends much of his valuable time with his wife and two daughters.
Dr. Bradford Nelson M.D., Pharm.D. is a compassionate, caring and highly experienced urologist at Spokane Urology who specializes in robotic and minimally invasive surgery especially as it pertains to urologic cancers. Dr. Nelson lives by his motto “treat the patient as you would like yourself or a family member treated.”
Dr. Nelson first completed a Doctor of Pharmacy degree ranking in the top of his class at Idaho State University. He always knew that he wanted to be a physician and used the degree to springboard into medicine entering University of Washington through the Idaho WWAMI program. He served his first year of medical school at Moscow/Pullman and would often visit Spokane. This is where he fell in love with the city and region. He then completed his medical school education at the University of Washington in Seattle graduating with High Honors and in the Alpha Omega Alpha society which is a distinction held only for the top 10% of the medical school class.
After UW he entered residency at one of the most prestigious urology programs in the nation Vanderbilt Medical School in Nashville Tennessee. Over the next five years he he had extensive training with some of the best urologists in the world and pioneers of the field and honed his skill and passion for treatment of all urologic conditions especially urologic cancers and robotic/minimally invasive surgery. He received several awards during residency including best resident teacher as well as publishing and presenting over 20 studies relating to various urologic diseases.
After residency Dr. Nelson knew that he wanted to be in Spokane permanently and returned in 2006 to join Rockwood Urology. For the next 16 years he would bring his training to bear in the inland Northwest taking care of tens of thousands of patients. He served that entire time as the section head for the department of urology and chairman of the Rockwood robotics committee. He has been interviewed in a number of regional magazines, been the speaker at a number of regional health care conferences and has been on multiple local TV shows in his fervent effort to take better care of the Spokane region’s urologic needs. He now joins Spokane Urology and is excited to bring that same passion for quality patient care for many more years to come in the inland Northwest.
Dr. Nelson is extremely adept with the DaVinci robotics platform having completed over 2000 robotic surgeries in his career. He offers the regions’ highest level of expertise with nerve sparing robotic prostatectomy, robotic simple prostatectomy, adrenalectomy, partial and radical nephrectomy, nephro-ureterectomy, female prolapse and a host of other disease states.
Dr. Nelson believes that all patients should be empowered and able to fully understand their urologic condition and he endeavors to explain this thoroughly to patients in terms that they are able to understand. He is well known for his easy going down to earth manner.
When Dr. Nelson is not passionately caring for his patients he enjoys spending time with his wife, two daughters, and two dogs. He is an avid skier and golfer and enjoys spending time in the beautiful outdoors.
Evan Carlos, MD is a diligent and compassionate urologist who practices the full breadth of adult urology at Spokane Urology in Spokane, Washington. With the whole person in mind, Dr. Carlos empowers patients to reach their health goals.
Dr. Carlos completed his undergraduate education at the University of Washington where he earned a Bachelor of Arts in Communication. From there, he earned his medical degree at Loyola University Chicago – Stritch School of Medicine.
After Chicago, Dr. Carlos then headed south to Durham, North Carolina where he completed his residency at Duke University Medical Center. Under the guidance of world experts, Dr. Carlos developed expertise in a multitude of minimally invasive techniques to treat urologic cancers, kidney stones, enlarged prostates, erectile dysfunction, male incontinence, and vasectomy.
He is well-versed in robot-assisted surgery and is enthusiastic to further the Inland Northwest’s access to the newest techniques to treat prostate cancer such as High-Intensity Focused Ultrasound (HIFU) and cryotherapy.
Dr. Carlos and has also completed a research fellowship focused on laser surgery to treat kidney stones and enlarged prostates. He has extensive clinical experience in these techniques as well. He is also well-published in surgical techniques to treat erectile dysfunction. Additionally, he has authored nearly 20 journal articles and given dozens of presentations at regional, national and international meetings.
Away from the office, Dr. Carlos loves to spend time outside on the water, hiking, hunting and fishing. All of which are most enjoyable with his wife and children.
Carl Walker, MD, is a compassionate and skilled urologist at Spokane Urology in Spokane, Washington, dedicated to providing the highest quality care for all his patients. He is board-certified by the American Board of Urology and offers a full spectrum of advanced treatment options for several urologic conditions. He brings specific expertise in sacral neuromodulation, an advanced minimally-invasive procedure to treat overactive bladder/urinary and fecal incontinence, a highly prevalent and undertreated condition.
Dr. Walker was born and raised in Los Angeles and Orange County before attending Stanford University in Stanford, California, where he finished his Bachelor of Science in biology. He then graduated from medical school at the University of California, San Diego, in La Jolla, California.
Dr. Walker completed his six-year urologic residency at the UC San Diego Medical Center, Rady Children’s Hospital-San Diego, and VA Medical Center, La Jolla, California. During his training, he was able to develop proficiency in treating all aspects of urologic disease, including male and female voiding dysfunction, minimally invasive treatments for enlarged prostate, urinary incontinence, urinary stone disease management and prevention, and uro-oncology (prostate, renal, bladder, testicular cancer).
After his residency program, he relocated his wife and three young children to South Bend, Indiana, to start his private practice at South Bend Clinic, where he served as Surgery Department Chair. While on staff at Memorial Hospital/ Beacon Health System, he initiated the Da Vinci robotic surgery program and served as Chairman for the Department of Surgery. During his final years of residency training and early years in practice, he was commissioned as a Lieutenant Commander in the United States Naval Reserve, proudly serving active duty and reservists. He also was appointed Assistant Clinical Professor of Surgery at Indiana University Medical School in South Bend.
Dr. Walker has interests in comprehensive men’s health, given significant issues in men’s reluctance to seek timely care for very treatable disorders. He has vast experience in treating erectile dysfunction (ED) and providing vacuum erection device and penile injection training, ED medication monitoring, penile prosthesis placement, and advanced treatments in regenerative therapy for ED and Peyronie’s Disease (i.e. Shockwave therapy).
Dr. Walker believes in the power of exercise, nutrition, and goal-directed lifestyle modifications to improve urologic and overall health. Different approaches in managing common conditions are often needed, and many patients want to participate in making decisions for their health. He also believes the connection between physical health to mental, emotional, and spiritual wellness is one that deserves attention in order to achieve the best health outcomes.
He relocated his family back to Southern California in 2014, providing urologic services in Encinitas and Temecula, California. Following the migration pattern of many Californians, he and his wife have discovered the beauty of the Inland Northwest and look forward to making roots here. In his free time, he enjoys tennis, golf, cycling, paddle-boarding, traveling, church activities, and spending time with his family.
Raymond Lance, MD, is a conscientious urologic oncologist offering quality care at Spokane Urology in Spokane, Washington. Dr. Lance remains passionate about taking care of others and improving their health and wellness through merging science and personalized medicine.
Dr. Lance finished his Bachelor of Science degree in chemistry from the University of Idaho in Moscow, Idaho, before obtaining his medical degree in 1991 at the F. Edward Hebert School of Medicine in Bethesda, Maryland. Dr. Lance completed his internship at Walter Reed Army Medical Center in Washington D.C. before finishing his urology residency at Madigan Army Medical Center in Tacoma, Washington. He obtained his fellowship at the prestigious University of Texas MD Anderson Cancer Center in Houston, Texas.
During his U.S. Army service, Dr. Lance achieved the active-duty rank of lieutenant colonel. He went on to join the Eastern Virginia Medical School in Norfolk, Virginia, for urology, where he achieved the academic rank of Full Professor of Surgery/Urology.
Ever learning, expanding his education, and sharing his knowledge, Dr. Lance has published over 70 peer-reviewed journal publications and authored several textbook chapters.
Through his training and for many years after, Dr. Lance actively researched molecular biology biomarkers and the treatment of urologic cancers. He takes pride in helping others and teaching other physicians.
For Dr. Lance, research is important, and he encourages a positive mindset and belief system when treating urologic cancer.
As the son of a cancer victim, Dr. Lance remains committed to treating each cancer patient as an individual with a compassionate and personalized approach.
Dr. Lance is renowned for his hard work and friendly and caring nature. He’s also a dedicated Christian and believes that spirituality is beneficial and can improve quality of life, particularly when facing cancer.
When he isn’t assisting patients, Dr. Lance enjoys spending time with his family. He’s married to his college sweetheart and they have four adopted children, six horses, a few dogs, and some chickens all nestled in the outskirts of Spokane.
Levi Deters, MD, FACS, is an empathic urologic specialist who was born and raised in the Inland Northwest in Washington. Dr. Deters is dedicated to serving his local community and enjoys offering the highest standard of urologic care at Spokane Urology located in Spokane, Washington.
Dr. Deters graduated from Gonzaga Preparatory School in Spokane before attending Wheaton College in Wheaton, Illinois. He also completed the WWAMI program at the University of Washington School of Medicine in Seattle, Washington. Following medical school, Dr. Deters completed a six-year urology residency at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
Dr. Deters spent his first two years managing critically ill patients in the general surgery program in addition to learning surgical techniques from the vascular, trauma, plastics, cardiothoracic, and transplant surgical services. He also finished four years of urology training, where he cared for adult and pediatric patients.
Dr. Deters is board-certified by the American Board of Urology and currently holds privileges at Sacred Heart Medical Center, Holy Family Hospital, Valley Hospital, and Deaconess Medical Center. He’s also on the committee for robotic surgery for the Providence Health Care System.
Passionate about teaching and sharing his knowledge, Dr. Deters holds faculty positions and teaches in the classroom and clinical settings at the University of Washington School of Medicine and the Elson S. Floyd College of Medicine at Washington State University in Spokane.
Dr. Deters specializes in treating benign and malignant urologic conditions. He has special interests in the management and prevention of kidney stones. As a medical resident, he also spent four years undergoing extensive training on the da Vinci® advanced robotic-assisted surgical system.
Staying informed on the latest innovations and advances in his field is of the utmost importance for Dr. Deters. He offers minimally invasive surgical procedures for the management of bladder, kidney, and prostate cancers, including nerve-sparing robotic-assisted laparoscopic prostatectomy for prostate cancer, robotic-assisted cystectomy with urinary diversion for bladder cancer, and nephron-sparing robotic-assisted partial nephrectomy for kidney cancer.
Dr. Deters provides laser and shockwave-based procedures for most stones in addition to percutaneous management of more complex and larger renal stones. He believes that effective urologic care begins with patient education and an open discussion about the condition and the many available treatment options. Dr. Deters takes a multidisciplinary approach to urologic medicine.
When he isn’t practicing medicine, Dr. Deters spends valuable time with his family and enjoys exploring the expansive and beautiful mountains and lakes of the region.
Michael Maccini, MD, is a well-respected and accomplished urologist offering a range of personalized services for men and women at Spokane Urology. Dr. Maccini is known for prioritizing patient education, comfort, and quality of life.
Dr. Maccini was raised just north of Spokane and graduated from Mount Spokane High School before attending Dartmouth College in Hanover, New Hampshire. He then graduated with Alpha Omega Alpha honors from medical school at the University of Vermont in Burlington, Vermont.
Dr. Maccini completed his six-year urologic residency at the University of Colorado Hospital, Denver Health Medical Cenver (a Level I trauma center), Children’s Hospital Colorado, and the VA Medical Center in Denver.
During his residency, Dr. Maccini received training in minimally invasive laparoscopic and robotic surgery on the da Vinci® surgical system for both benign and malignant conditions, including pelvic organ prolapse. He also spent extensive time working with two reconstructive urologists and has interest in the surgical management of urethral stricture disease.
Dr. Maccini treats a wide spectrum of urologic conditions, including urinary incontinence, erectile dysfunction, kidney stones, and prostate, bladder, and testicular cancer. He has a special focus in his practice on providing the full spectrum of treatment options for enlarged prostate (BPH) symptoms, including the minimally invasive UroLift® System, which offers men an excellent alternative to medications and more invasive surgical procedures. Dr. Maccini is the first UroLift Center of Excellence in the Inland Northwest and currently the only physician in the Spokane area offering the UroLift procedure in the office setting, providing a truly minimally invasive treatment option.
Dr. Maccini views patient understanding and education as the foundation of effective and personalized health care. He strives to make a positive impact on patients’ quality of life and general wellness.
Dr. Maccini’s wife is also from the Spokane area, and they are both thrilled to be back in the Inland Northwest.
Bryan Voelzke, MD, FACS, is a board-certified urologic reconstructive surgeon providing quality services for men and women at Spokane Urology in Spokane, Washington. He’s also a fellow of the American College of Surgeons.
Dr. Voelzke finished his bachelor’s degree from Baylor University in Waco, Texas, and his medical degree from the University of Texas Health Science Center-San Antonio in San Antonio, Texas. He completed his urology residency at Loyola University Medical Center in Hines, Illinois, before finishing a one-year advanced clinical urology fellowship in Melbourne, Australia.
Dr. Voelzke completed a fellowship in genitourinary reconstruction and trauma at the University of California San Francisco Medical Center with Dr. Jack McAninch before joining the Department of Urology at the University of Washington in 2008. He also achieved a master’s degree in clinical epidemiology in 2013.
Since 2008, Dr. Voelzke has lived in the Pacific Northwest. His prior academic practice was devoted to reconstructive urology at the University of Washington/Harborview Medical Center in Seattle, Washington.
Dr. Voelzke connects with a broad network of physicians across the Pacific Northwest to provide surgical and medical care for men and women with complex urologic reconstructive issues. He routinely treats patients with issues such as urethral stricture disease, stress urinary incontinence, Peyronie’s disease, and genital reconstruction following skin malignancies.
Dr. Voelzke has a special interest in the reconstruction of the bladder and ureter following radiation for pelvic malignancy and other injuries. Dr. Voelzke has previously performed over 110 reconstructive cases yearly and was the only reconstructive urologist in the Seattle area performing certain advanced urologic surgical procedures.
Patient-centered care is a priority for Dr. Voelzke, and he’s received numerous awards. On separate occasions, he received the Patient-Reported Assessment in Satisfaction and Excellence (PRAISE) Award solely based on patient feedback. In 2018, he was also recognized as a top doctor in urology in the Seattle Met magazine, and he was awarded the Colonel John N. Wettlaufer Resident Educator of the Year Award by the Madigan Army Medical Center urology residents. He was one of 16 health providers to be nominated for the UW Distinguished Teaching Award.
Dr. Voelzke is a proud founder of the Trauma and Urologic Reconstructive Network of Surgeons (TURNS) — a group of reconstructive urologists across multiple academic centers that collaborate in the study of urologic reconstruction. It’s the first and only clinical research network of its kind in the field of genitourinary and reconstructive trauma.
Dr. Voelzke treats each patient as an individual, and as he would want to be treated. He knows that his patients live with the outcome of a surgical procedure for the rest of their lives, and he strives to perform the best possible, advanced, effective, and life-changing surgeries. In his free time, Dr. Voelzke enjoys spending valuable time with his wife and their wonderful children. Dr. Voelzke and his family are excited to explore Spokane and the Inland Northwest.
Fellowship-trained urologic oncologist Shane Pearce, MD, provides high-quality urological care for all types of benign and malignant urological conditions. Dr. Pearce is known for offering compassionate and attentive care to the men and women at Urology Surgery Center Northwest in Spokane, Washington.
Dr. Pearce is a native of western Montana and is excited to be back in the Inland Northwest with his family.
Dr. Pearce graduated with honors from the University of Wisconsin-Madison in Madison, Wisconsin. He also attended the University of Wisconsin-Madison School of Medicine and Public Health and was inducted into the Alpha Omega Alpha Honor Society for finishing in the top 10% of his class.
After medical school, Dr. Pearce completed a six-year urology residency at the University of Chicago Medical Center in Chicago, Illinois, — the highest volume, minimally invasive robotic surgery program in Illinois. During his residency, Dr. Pearce logged over 350 robotic cases and trained with prestigious experts in bladder, prostate, testicular, and kidney cancer.
His residency ignited an interest in caring for patients with advanced urologic cancers, and Dr. Pearce completed a two-year Society of Urologic Oncology-accredited fellowship at the University of Southern California in Los Angeles.
At USC and LA County Medical Center in Los Angeles, Dr. Pearce continued comprehensive training and performed hundreds of complex open and robotic surgeries with internationally recognized leaders in the field at the premier urologic oncology program.
Always learning and furthering his skills, Dr. Pearce is involved in numerous research and teaching pursuits. He performs basic science research and population-based health outcomes research to better understand and treat patients with urological cancers.
Dr. Pearce has published over 40 peer-reviewed textbook chapters and journal articles. He serves as peer-reviewer for several major urologic journals and was awarded the Resident and Medical Student Teaching Award during his fellowship. Dr. Pearce also teaches as a clinical assistant professor at Washington State University College of Medicine in Spokane.
Away from the medical office, family time with his wife and son is vital to Dr. Pearce. He’s passionate about the outdoors and enjoys hiking, fly-fishing, snowboarding, and camping. He’s also an aspiring golfer.
Duncan Sloan, MD is a urologist providing high quality care to his patients at Urology Surgery Center Northwest. Dr. Sloan is originally from Johannesburg, South Africa but his family moved to Dallas, Texas where he grew up. He served in the United States Navy as a Hospital Corpsman, having the privilege of serving and caring for United States Marines and Sailors during his enlistment.
Dr. Sloan attended the University of Texas at Arlington where he received his B.S. degree in Biochemistry and Inorganic Chemistry. He then attended the University of Texas at Houston Health Science Center for his medical education. Following medical school, he completed his residency at the University of Texas Health Science Center and MD Anderson Cancer Center.
Dr. Sloan enjoys all aspects of urologic care but has special interests in robotic surgery with the Da Vinci robotic system for oncologic and benign conditions, management of benign prostatic enlargement and male sexual health, including penile prosthesis surgery for erectile dysfunction.
Dr. Sloan has a special connection to the northwest having been married on Schweitzer Mountain in Sandpoint, ID. When not practicing medicine, Dr. Sloan enjoys spending valuable time with his family on the lake, hiking through the various trails and mountains and skiing on Schweitzer Mountain.
Duncan Sloan, MD is a urologist providing high quality care to his patients at Spokane Urology. Dr. Sloan is originally from Johannesburg, South Africa but his family moved to Dallas, Texas where he grew up. He served in the United States Navy as a Hospital Corpsman, having the privilege of serving and caring for United States Marines and Sailors during his enlistment. Dr. Sloan attended the University of Texas at Arlington where he received his B.S. degree in Biochemistry and Inorganic Chemistry. He then attended the University of Texas at Houston Health Science Center for his medical education. Following medical school, he completed his residency at the University of Texas Health Science Center and MD Anderson Cancer Center. Dr. Sloan enjoys all aspects of urologic care but has special interests in robotic surgery with the Da Vinci robotic system for oncologic and benign conditions, management of benign prostatic enlargement and male sexual health, including penile prosthesis surgery for erectile dysfunction.
Dr. Sloan has a special connection to the northwest having been married on Schweitzer Mountain in Sandpoint, ID. When not practicing medicine, Dr. Sloan enjoys spending valuable time with his family on the lake, hiking through the various trails and mountains and skiing on Schweitzer Mountain.
Evan Carlos, MD is a diligent and compassionate urologist who practices the full breadth of adult urology at Spokane Urology in Spokane, Washington. With the whole person in mind, Dr. Carlos empowers patients to reach their health goals.
Dr. Carlos completed his undergraduate education at the University of Washington where he earned a Bachelor of Arts in Communication. From there, he earned his medical degree at Loyola University Chicago – Stritch School of Medicine.
After Chicago, Dr. Carlos then headed south to Durham, North Carolina where he completed his residency at Duke University Medical Center. Under the guidance of world experts, Dr. Carlos developed expertise in a multitude of minimally invasive techniques to treat urologic cancers, kidney stones, enlarged prostates, erectile dysfunction, male incontinence, and vasectomy.
He is well-versed in robot-assisted surgery and is enthusiastic to further the Inland Northwest’s access to the newest techniques to treat prostate cancer such as High-Intensity Focused Ultrasound (HIFU) and cryotherapy.
Dr. Carlos and has also completed a research fellowship focused on laser surgery to treat kidney stones and enlarged prostates. He has extensive clinical experience in these techniques as well. He is also well-published in surgical techniques to treat erectile dysfunction. Additionally, he has authored nearly 20 journal articles and given dozens of presentations at regional, national and international meetings.
Away from the office, Dr. Carlos loves to spend time outside on the water, hiking, hunting and fishing. All of which are most enjoyable with his wife and children.
Carl Walker, MD, is a compassionate and skilled urologist at Spokane Urology in Spokane, Washington, dedicated to providing the highest quality care for all his patients. He is board-certified by the American Board of Urology and offers a full spectrum of advanced treatment options for several urologic conditions. He brings specific expertise in sacral neuromodulation, an advanced minimally-invasive procedure to treat overactive bladder/urinary and fecal incontinence, a highly prevalent and undertreated condition.
Dr. Walker was born and raised in Los Angeles and Orange County before attending Stanford University in Stanford, California, where he finished his Bachelor of Science in biology. He then graduated from medical school at the University of California, San Diego, in La Jolla, California.
Dr. Walker completed his six-year urologic residency at the UC San Diego Medical Center, Rady Children’s Hospital-San Diego, and VA Medical Center, La Jolla, California. During his training, he was able to develop proficiency in treating all aspects of urologic disease, including male and female voiding dysfunction, minimally invasive treatments for enlarged prostate, urinary incontinence, urinary stone disease management and prevention, and uro-oncology (prostate, renal, bladder, testicular cancer).
After his residency program, he relocated his wife and three young children to South Bend, Indiana, to start his private practice at South Bend Clinic, where he served as Surgery Department Chair. While on staff at Memorial Hospital/ Beacon Health System, he initiated the Da Vinci robotic surgery program and served as Chairman for the Department of Surgery. During his final years of residency training and early years in practice, he was commissioned as a Lieutenant Commander in the United States Naval Reserve, proudly serving active duty and reservists. He also was appointed Assistant Clinical Professor of Surgery at Indiana University Medical School in South Bend.
Dr. Walker has interests in comprehensive men’s health, given significant issues in men’s reluctance to seek timely care for very treatable disorders. He has vast experience in treating erectile dysfunction (ED) and providing vacuum erection device and penile injection training, ED medication monitoring, penile prosthesis placement, and advanced treatments in regenerative therapy for ED and Peyronie’s Disease (i.e. Shockwave therapy).
Dr. Walker believes in the power of exercise, nutrition, and goal-directed lifestyle modifications to improve urologic and overall health. Different approaches in managing common conditions are often needed, and many patients want to participate in making decisions for their health. He also believes the connection between physical health to mental, emotional, and spiritual wellness is one that deserves attention in order to achieve the best health outcomes.
He relocated his family back to Southern California in 2014, providing urologic services in Encinitas and Temecula, California. Following the migration pattern of many Californians, he and his wife have discovered the beauty of the Inland Northwest and look forward to making roots here. In his free time, he enjoys tennis, golf, cycling, paddle-boarding, traveling, church activities, and spending time with his family.
Bryan Voelzke, MD, FACS, is a board-certified urologic reconstructive surgeon providing quality services for men and women at Spokane Urology in Spokane, Washington. He’s also a fellow of the American College of Surgeons.
Dr. Voelzke finished his bachelor’s degree from Baylor University in Waco, Texas, and his medical degree from the University of Texas Health Science Center-San Antonio in San Antonio, Texas. He completed his urology residency at Loyola University Medical Center in Hines, Illinois, before finishing a one-year advanced clinical urology fellowship in Melbourne, Australia.
Dr. Voelzke completed a fellowship in genitourinary reconstruction and trauma at the University of California San Francisco Medical Center with Dr. Jack McAninch before joining the Department of Urology at the University of Washington in 2008. He also achieved a master’s degree in clinical epidemiology in 2013.
Since 2008, Dr. Voelzke has lived in the Pacific Northwest. His prior academic practice was devoted to reconstructive urology at the University of Washington/Harborview Medical Center in Seattle, Washington.
Dr. Voelzke connects with a broad network of physicians across the Pacific Northwest to provide surgical and medical care for men and women with complex urologic reconstructive issues. He routinely treats patients with issues such as urethral stricture disease, stress urinary incontinence, Peyronie’s disease, and genital reconstruction following skin malignancies.
Dr. Voelzke has a special interest in the reconstruction of the bladder and ureter following radiation for pelvic malignancy and other injuries. Dr. Voelzke has previously performed over 110 reconstructive cases yearly and was the only reconstructive urologist in the Seattle area performing certain advanced urologic surgical procedures.
Patient-centered care is a priority for Dr. Voelzke, and he’s received numerous awards. On separate occasions, he received the Patient-Reported Assessment in Satisfaction and Excellence (PRAISE) Award solely based on patient feedback. In 2018, he was also recognized as a top doctor in urology in the Seattle Met magazine, and he was awarded the Colonel John N. Wettlaufer Resident Educator of the Year Award by the Madigan Army Medical Center urology residents. He was one of 16 health providers to be nominated for the UW Distinguished Teaching Award.
Dr. Voelzke is a proud founder of the Trauma and Urologic Reconstructive Network of Surgeons (TURNS) — a group of reconstructive urologists across multiple academic centers that collaborate in the study of urologic reconstruction. It’s the first and only clinical research network of its kind in the field of genitourinary and reconstructive trauma.
Dr. Voelzke treats each patient as an individual, and as he would want to be treated. He knows that his patients live with the outcome of a surgical procedure for the rest of their lives, and he strives to perform the best possible, advanced, effective, and life-changing surgeries. In his free time, Dr. Voelzke enjoys spending valuable time with his wife and their wonderful children. Dr. Voelzke and his family are excited to explore Spokane and the Inland Northwest.
Raymond Lance, MD, is a conscientious urologic oncologist offering quality care at Spokane Urology in Spokane, Washington. Dr. Lance remains passionate about taking care of others and improving their health and wellness through merging science and personalized medicine.
Dr. Lance finished his Bachelor of Science degree in chemistry from the University of Idaho in Moscow, Idaho, before obtaining his medical degree in 1991 at the F. Edward Hebert School of Medicine in Bethesda, Maryland. Dr. Lance completed his internship at Walter Reed Army Medical Center in Washington D.C. before finishing his urology residency at Madigan Army Medical Center in Tacoma, Washington. He obtained his fellowship at the prestigious University of Texas MD Anderson Cancer Center in Houston, Texas.
During his U.S. Army service, Dr. Lance achieved the active-duty rank of lieutenant colonel. He went on to join the Eastern Virginia Medical School in Norfolk, Virginia, for urology, where he achieved the academic rank of Full Professor of Surgery/Urology.
Ever learning, expanding his education, and sharing his knowledge, Dr. Lance has published over 70 peer-reviewed journal publications and authored several textbook chapters.
Through his training and for many years after, Dr. Lance actively researched molecular biology biomarkers and the treatment of urologic cancers. He takes pride in helping others and teaching other physicians.
For Dr. Lance, research is important, and he encourages a positive mindset and belief system when treating urologic cancer.
As the son of a cancer victim, Dr. Lance remains committed to treating each cancer patient as an individual with a compassionate and personalized approach.
Dr. Lance is renowned for his hard work and friendly and caring nature. He’s also a dedicated Christian and believes that spirituality is beneficial and can improve quality of life, particularly when facing cancer.
When he isn’t assisting patients, Dr. Lance enjoys spending time with his family. He’s married to his college sweetheart and they have four adopted children, six horses, a few dogs, and some chickens all nestled in the outskirts of Spokane.
Levi Deters, MD, FACS, is an empathic urologic specialist who was born and raised in the Inland Northwest in Washington. Dr. Deters is dedicated to serving his local community and enjoys offering the highest standard of urologic care at Spokane Urology located in Spokane, Washington.
Dr. Deters graduated from Gonzaga Preparatory School in Spokane before attending Wheaton College in Wheaton, Illinois. He also completed the WWAMI program at the University of Washington School of Medicine in Seattle, Washington. Following medical school, Dr. Deters completed a six-year urology residency at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
Dr. Deters spent his first two years managing critically ill patients in the general surgery program in addition to learning surgical techniques from the vascular, trauma, plastics, cardiothoracic, and transplant surgical services. He also finished four years of urology training, where he cared for adult and pediatric patients.
Dr. Deters is board-certified by the American Board of Urology and currently holds privileges at Sacred Heart Medical Center, Holy Family Hospital, Valley Hospital, and Deaconess Medical Center. He’s also on the committee for robotic surgery for the Providence Health Care System.
Passionate about teaching and sharing his knowledge, Dr. Deters holds faculty positions and teaches in the classroom and clinical settings at the University of Washington School of Medicine and the Elson S. Floyd College of Medicine at Washington State University in Spokane.
Dr. Deters specializes in treating benign and malignant urologic conditions. He has special interests in the management and prevention of kidney stones. As a medical resident, he also spent four years undergoing extensive training on the da Vinci® advanced robotic-assisted surgical system.
Staying informed on the latest innovations and advances in his field is of the utmost importance for Dr. Deters. He offers minimally invasive surgical procedures for the management of bladder, kidney, and prostate cancers, including nerve-sparing robotic-assisted laparoscopic prostatectomy for prostate cancer, robotic-assisted cystectomy with urinary diversion for bladder cancer, and nephron-sparing robotic-assisted partial nephrectomy for kidney cancer.
Dr. Deters provides laser and shockwave-based procedures for most stones in addition to percutaneous management of more complex and larger renal stones. He believes that effective urologic care begins with patient education and an open discussion about the condition and the many available treatment options. Dr. Deters takes a multidisciplinary approach to urologic medicine.
When he isn’t practicing medicine, Dr. Deters spends valuable time with his family and enjoys exploring the expansive and beautiful mountains and lakes of the region.
When it comes to providing high-caliber urological care, skillful urologist David Mikkelsen, MD, FACS, is renowned for his dedication, diligence, and compassion. Dr. Mikkelsen is board-certified by the American Board of Urology, offers urologic care, and treats a range of urological conditions and diseases at Spokane Urology in Spokane, Washington.
Dr. Mikkelsen is a native of the Inland Northwest in Washington. He was raised in Western Montana and attended Montana State University in Bozeman, Montana, before graduating from Northwestern University Feinberg School of Medicine in Chicago, Illinois.
He finished a urologic surgical residency and a surgical internship at Washington University in St. Louis, Missouri, before joining the qualified providers of Spokane Urology in 1990.
Dr. Mikkelsen holds admitting privileges at Deaconess Medical Center, Holy Family Hospital, Sacred Heart Medical Center, and Valley Hospital.
Passionate about sharing his knowledge and skills, Dr. Mikkelsen has instructed residents with the Family Medicine Spokane Residency Program affiliated with the University of Washington Department of Family Medicine in Seattle, Washington. His teaching activities have included both in-office instruction and didactic lectures.
Dr. Mikkelson offers the whole spectrum of urologic care, including the treatment of stone disease and incontinence surgery. He’s also developed a special interest in surgery for urologic cancers.
He helped develop an early and successful program for robotic-assisted urologic surgery utilizing the da Vinci® robotic system at Sacred Heart Medical Center. He continues to offer both open and laparoscopic approaches for a wide range of urologic malignancies.
Being outdoors is just one of Dr. Mikkelson’s hobbies away from the medical office. He also spends much of his valuable time with his wife and two daughters.
Michael Maccini, MD, is a well-respected and accomplished urologist offering a range of personalized services for men and women at Spokane Urology. Dr. Maccini is known for prioritizing patient education, comfort, and quality of life.
Dr. Maccini was raised just north of Spokane and graduated from Mount Spokane High School before attending Dartmouth College in Hanover, New Hampshire. He then graduated with Alpha Omega Alpha honors from medical school at the University of Vermont in Burlington, Vermont.
Dr. Maccini completed his six-year urologic residency at the University of Colorado Hospital, Denver Health Medical Cenver (a Level I trauma center), Children’s Hospital Colorado, and the VA Medical Center in Denver.
During his residency, Dr. Maccini received training in minimally invasive laparoscopic and robotic surgery on the da Vinci® surgical system for both benign and malignant conditions, including pelvic organ prolapse. He also spent extensive time working with two reconstructive urologists and has interest in the surgical management of urethral stricture disease.
Dr. Maccini treats a wide spectrum of urologic conditions, including urinary incontinence, erectile dysfunction, kidney stones, and prostate, bladder, and testicular cancer. He has a special focus in his practice on providing the full spectrum of treatment options for enlarged prostate (BPH) symptoms, including the minimally invasive UroLift® System, which offers men an excellent alternative to medications and more invasive surgical procedures. Dr. Maccini is the first UroLift Center of Excellence in the Inland Northwest and currently the only physician in the Spokane area offering the UroLift procedure in the office setting, providing a truly minimally invasive treatment option.
Dr. Maccini views patient understanding and education as the foundation of effective and personalized health care. He strives to make a positive impact on patients’ quality of life and general wellness.
Dr. Maccini’s wife is also from the Spokane area, and they are both thrilled to be back in the Inland Northwest.
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