Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1994
NPI: 1225090020
Practice Locations (2)
ST PAUL EYE CLINIC PA
257 W SAINT GEORGE AVE
GRANTBURG, WI 548407827
7154635353
ST PAUL EYE CLINIC PA
2600 65TH AVE
OSCEOLA, WI 540204376
7152945704
Source: CMS National Downloadable File, September 2026.