A member of our Ear, Nose and Throat team, Robert Fischer, MD, is an otolaryngologist, dedicated to providing high-quality, up-to-date care to adults and children with ear, nose and throat conditions. Dr. Fischer is board-certified in Otolaryngology with three decades of ENT experience. He is well-equipped to provide medical and surgical care for the full range of disorders, from ear and sinus problems, to head & neck surgery and facial plastic surgery. A magna cum laude graduate of the University of Wisconsin, Dr. Fischer earned his medical doctorate from the Medical College of Wisconsin and completed his Otolaryngology residency at Portsmouth Naval Hospital in Virginia as part of a 10-year association with the U.S. Navy Medical Corps. After discharge, he practiced at Duluth Clinic in Minnesota and Wind River ENT in Lander, WY, before joining Trinity Health in 2015. He practiced four years with Sanford Health in Bemidji, MN, before returning to Trinity.
Gastroesophageal Reflux Disease (GERD)
Alycia Coutts, FNP-C
A board-certified nurse practitioner, Alycia Coutts, FNP-C, cares for patients as a member of our Ear, Nose & Throat team. She works with otorhinolaryngology surgeons and other team members to manage the care of children and adults with acute and chronic ENT conditions such as ear infections and other concerns, sinusitis, head & neck problems, and sleep issues. Alycia received her Master of Science degree in Family Nurse Practice from Simmons University. Prior to that she earned an Associate of Science Degree in Nursing from Williston State College and worked as an RN at Trinity Health as a family practice nurse and a charge nurse in Labor & Delivery. A member of Sigma Theta Tau International Honor Society of Nursing, the American Association of Nurse Practitioners, and the North Dakota Nurse Practitioner Association, Alycia enjoys spending time outside with her family and watching hockey.
Rob Thomas, MD
A specialist in Ear, Nose and Throat Medicine (Otolaryngology) and Head and Neck Surgery, Dr. Thomas provides medical and surgical care for children and adults with ear, nose, and throat conditions, including ear infections, snoring, sleep apnea, hearing loss, dizziness, voice evaluation and surgery, and thyroid and salivary gland disorders. He earned his medical degree from Vanderbilt University School of Medicine, Nashville, where he was named a member of Alpha Omega Alpha Medical Honor Society in recognition of scholarship and professionalism. He completed a five-year residency in Otolaryngology and Head and Neck Surgery at the University of Florida, Gainesville. He’s a member of the American Academy of Otolaryngology – Head and Neck Surgery.
Ira Paul Michaelson, MD
Ira Paul Michaelson, MD, is a board certified gastroenterologist with extensive experience caring for people with digestive disorders and other conditions affecting the G.I. tract. A lifelong Boston-area resident, Dr. Michaelson graduated from Trinity College in Hartford, CT, and earned his medical degree from the University of Florence in Italy. He completed his internship and the first year of his Internal Medicine residency at Carney Hospital in Boston. His second and third years of residency were completed respectively at Cook County Hospital in Chicago and Brigham and Women’s Hospital of Boston. He practiced briefly as an emergency physician before pursuing a two-year fellowship in Gastroenterology at the University of Massachusetts Medical Center in Worcester. He then began a 35-year association with Lawrence Memorial Hospital, Medford, MA, where he provided gastroenterology and advanced endoscopic care to G.I. patients throughout the Medford area. A member of the American College of Gastroenterology, Dr. Michaelson is dual boarded in Internal Medicine and Gastroenterology, with clinical interests in Plant Based Medicine and cancer prevention following the work of Dr. Caldwell Esselstyn of the Cleveland Clinic. An avid cross-country skier, he and his wife, Shari, have four children and six grandchildren.
Bonnie Ler, FNP-C
Bonnie Ler, FNP completed her medical training at the University of Mary in Bismarck, North Dakota. She provided medical services in the Internal Medicine Department for many years and now practices in the Gastroenterology Department of Health Center – Medical Arts.