Graduated: 2023
NPI: 1417736018
Practice Locations (3)
ST MARYS REGIONAL HEALTH CENTER
705 PLEASANT AVE S
PARK RAPIDS, MN 564701440
2187322800
INNOVIS HEALTH LLC
1702 UNIVERSITY DR S
FARGO, ND 581034940
7013648900
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
Source: CMS National Downloadable File, September 2026.