Medical school: FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated: 1980
NPI: 1831181411
Practice Locations (2)
51950 VAN DYKE AVE
Shelby Township, MI 483164453
51950 VAN DYKE AVE
SHELBY TOWNSHIP, MI 483164453
5862549030
Source: CMS National Downloadable File, September 2026.