Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2004
NPI: 1740327493
Practice Locations (2)
SANFORD HEALTH OF NORTHERN MINNESOTA
1611 ANNE ST NW
BEMIDJI, MN 566015114
2183335000
SANFORD HEALTH OF NORTHERN MINNESOTA
PO BOX, SUITE 5074
SIOUX FALLS, SD 571175074
Source: CMS National Downloadable File, September 2026.