Graduated: 2003
NPI: 1205889417
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.