Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1093245094
Practice Locations (2)
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
INNOVIS HEALTH LLC
4476 31ST AVE S, SUITE 101
FARGO, ND 581044532
7012349400
Source: CMS National Downloadable File, September 2026.