Graduated: 1988
NPI: 1104378884
Practice Locations (3)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE, ATTN BUSINESS OFFICE MANAGER
DETROIT LAKES, MN 565013409
WHITE EARTH INDIAN HEALTH CENTER
40520 COUNTY HWY 34
OGEMA, MN 565699612
2189834300
Source: CMS National Downloadable File, September 2026.