Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1996
NPI: 1083680599
Practice Locations (2)
SOUTHSIDE COMMUNITY HEALTH SERVICES INC
4243 4TH AVE S
Minneapolis, MN 554092113
SOUTHSIDE COMMUNITY HEALTH SERVICES INC
4243 4TH AVE S
MINNEAPOLIS, MN 554092113
Source: CMS National Downloadable File, September 2026.