Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1994
NPI: 1346303856
Practice Locations (2)
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
28100 GRAND RIVER AVE
FARMINGTON HILLS, MI 483365970
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
3535 W 13 MILE RD
ROYAL OAK, MI 480736770
Source: CMS National Downloadable File, September 2026.