Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2003
NPI: 1104902923
Practice Locations (2)
AVERA MARSHALL
300 S BRUCE ST
MARSHALL, MN 562581934
5075379165
AVERA MARSHALL
300 S BRUCE ST, S
MARSHALL, MN 562581934
5075329661
Source: CMS National Downloadable File, September 2026.