Graduated: 1998
NPI: 1629060660
Practice Locations (3)
THE DULUTH CLINIC LTD
400 E 3RD ST
DULUTH, MN 558051951
2187868364
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
10001 S WESTERN AVE, SUITE 101
OKLAHOMA CITY, OK 731392993
4053106977
Source: CMS National Downloadable File, September 2026.