Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 1975
NPI: 1326119223
Practice Locations (2)
RIVER LAKE CLINIC LLC
4323 E LAKE ST
Minneapolis, MN 554062307
RIVER LAKE CLINIC LLC
4323 E LAKE ST
MINNEAPOLIS, MN 554062307
6127221003
Source: CMS National Downloadable File, September 2026.