Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1997
NPI: 1285770065
Practice Locations (3)
117 W UPHAM ST
MARSHFIELD, WI 544491458
7153872773
611 STEVENS DR
WAUSAU, WI 544013000
EYECARE CENTER OF WAUSAU LLC
611 STEVENS DR
WAUSAU, WI 544013006
7158482020
Source: CMS National Downloadable File, September 2026.