Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1992
NPI: 1477748085
Practice Locations (2)
202 NW 1ST AVE
GRAND RAPIDS, MN 557442703
2183260358
SHOPTIKAL LLC
4114 9TH AVE W
HIBBING, MN 557463020
2182638956
Source: CMS National Downloadable File, September 2026.