Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2013
NPI: 1306288147
Practice Locations (2)
FAMILY HEALTH CARE CENTER
301 NP AVE N
Fargo, ND 581024835
FAMILY HEALTH CARE CENTER
301 NP AVE N
FARGO, ND 581024835
7012713344
Source: CMS National Downloadable File, September 2026.