Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2004
NPI: 1407880057
Practice Locations (3)
SANFORD HEALTH OF NORTHERN MINNESOTA
1656 CENTRAL ST W
BAGLEY, MN 566214357
2186942384
SANFORD HEALTH OF NORTHERN MINNESOTA
1656 CENTRAL ST W, SUITE A
BAGLEY, MN 566214357
2186942442
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
Source: CMS National Downloadable File, September 2026.