Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2004
NPI: 1275582421
Practice Locations (2)
NORTHERN MINNESOTA EYE CARE LLC
1001 CLOQUET AVE
CLOQUET, MN 557201617
2188791558
MOOSE LAKE EYE CARE LLC
312 ELM AVE
MOOSE LAKE, MN 557677706
2184858495
Source: CMS National Downloadable File, September 2026.