Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2000
NPI: 1831229913
Practice Locations (2)
3700 OWEN RD
FENTON, MI 484309193
8107507345
1221 S ORTONVILLE RD, BLDG A
ORTONVILLE, MI 484628676
2487933131
Source: CMS National Downloadable File, September 2026.