Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2002
NPI: 1609871557
Practice Locations (3)
757 CLEVELAND AVE S
SAINT PAUL, ME 551161302
757 CLEVELAND AVE S
SAINT PAUL, MN 551161302
757 CLEVELAND S AVE
SAINT PAUL, MN 551161302
6516995400
Source: CMS National Downloadable File, September 2026.