Michele Brannan, PA-C

Welcome to Urology of St. Louis located in Alton, Illinois. With more than thirty physicians and fifteen locations, our practice is a complete resource for the treatment of all urologic conditions. Our providers offer expert care for a wide range of urologic and men's health conditions, including kidney stones, low testosterone, and enlarged prostate (BPH). With state-of-the-art treatment options like the no-scalpel vasectomy and an emphasis on compassionate care, our dedicated specialists work with you to ensure personalized treatment. Recognized as top doctors in St. Louis, you can trust Urology of St. Louis to provide you with comprehensive care for your unique needs.

Zach Witges, ANP, is a board-certified nurse practitioner who sees patients 18 years and older. He specializes in treating a variety of neurological conditions, including migraines, headaches, tremors, movement and memory disorders, seizures, stroke and nerve damage. He provides injections for migraines and non-surgical treatment options for radiculopathy and neurological rehabilitation. This practice is a part of BJC Medical Group of Missouri.

Puja Gurung, MD, is board-certified in family medicine, hospital medicine, and sleep medicine and sees adult and pediatric patients. Dr. Gurung provides consultations for sleep disorders, including obstructive sleep apnea, narcolepsy, excessive daytime sleepiness, insomnia, parasomnias, REM behavior disorder, circadian rhythm disorder and shift work disorder. Dr. Gurung became interested in sleep medicine after observing how many of her patients suffered from sleep disorders. She witnessed the significant toll these disorders took on their quality of life. Dr. Gurung understands the importance of restful sleep for health and vitality. She finds it rewarding to see her patients' lives transform through the treatments she provides and recommends. She earned her medical degree and completed her internship at Manipal College of Medical Sciences in Pokhara, Nepal. She then completed her residency at the University of Illinois in Rockford and a fellowship at the University of Missouri in Columbia.