Medical school: FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated: 2002
NPI: 1083603831
Practice Locations (2)
15088 22ND AVE NE
Little Falls, MN 563454199
15088 22ND AVE NE
LITTLE FALLS, MN 563454199
3206321950
Source: CMS National Downloadable File, September 2026.