Graduated: 2021
NPI: 1770243727
Practice Locations (3)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188475611
THE DULUTH CLINIC LTD
400 E 3RD ST
DULUTH, MN 558051951
2187868364
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
Source: CMS National Downloadable File, September 2026.