Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2004
NPI: 1447280847
Practice Locations (2)
CENTRACARE CLINIC SOUTHWEST LLC
600 PETERSON PKWY
NEW LONDON, MN 562737823
3203542222
CENTRACARE CLINIC SOUTHWEST LLC
1604 1ST ST S
WILLMAR, MN 562014243
3202315000
Source: CMS National Downloadable File, September 2026.