Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2008
NPI: 1851553549
Practice Locations (3)
AGNESIAN HEALTHCARE INC
420 E DIVISION ST
FOND DU LAC, WI 549354560
9209237400
AGNESIAN HEALTHCARE INC
421 CAMELOT DR
FOND DU LAC, WI 549358335
9209268616
AGNESIAN HEALTHCARE INC
430 E DIVISION ST
FOND DU LAC, WI 549354560
9209292300
Source: CMS National Downloadable File, September 2026.