Graduated: 2014
NPI: 1831519024
Practice Locations (3)
INNOVIS HEALTH LLC
3000 32ND AVE S
FARGO, ND 581036132
7013648000
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
1140 ROUTE 72 W
MANAHAWKIN, NJ 080502412
6095976011
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
1301 TAYLOR ST, SUITE 1A
COLUMBIA, SC 292012946
8034344790
Source: CMS National Downloadable File, September 2026.