Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1989
NPI: 1992737704
Practice Locations (3)
415 E ANN ST
Weyauwega, WI 549838532
415 E ANN ST
WEYAUWEGA, WI 549830350
9208673131
415 E ANN ST PO BOX, SUITE 350
WEYAUWEGA, WI 549830350
Source: CMS National Downloadable File, September 2026.