Graduated: 1999
NPI: 1174578330
Practice Locations (3)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188475611
INNOVIS HEALTH LLC
801 BELSLY BLVD
MOORHEAD, MN 565605055
7013646800
INNOVIS HEALTH LLC
1702 UNIVERSITY DR S
FARGO, ND 581034940
7013648900
Source: CMS National Downloadable File, September 2026.