Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2010
NPI: 1932411691
Practice Locations (2)
1000 S WISCONSIN AVE
GAYLORD, MI 497351785
1000 S WISCONSIN AVE, OTSEGO FAMILY VISION
GAYLORD, MI 497351785
9897327518
Source: CMS National Downloadable File, September 2026.