Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 2002
NPI: 1396848206
Practice Locations (2)
9451 MAPLE GROVE PKWY N
MAPLE GROVE, MN 553115447
7634162312
1960 TWIN LAKES PKWY
ROSEVILLE, MN 551131324
6127881549
Source: CMS National Downloadable File, September 2026.