Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2000
NPI: 1528049459
Practice Locations (2)
HENNEPIN COUNTY
1313 PENN N AVE
MINNEAPOLIS, MN 554113047
6125432500
UNITED FAMILY PRACTICE HEALTH CENTER
1026 7TH ST W
SAINT PAUL, MN 551023828
6517589500
Source: CMS National Downloadable File, September 2026.