Graduated: 2020
NPI: 1932799525
Practice Locations (3)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188475611
INNOVIS HEALTH LLC
1405 7TH ST S
MOORHEAD, MN 565603444
2182337508
INNOVIS HEALTH LLC
4622 40TH AVE S, SUITE A
FARGO, ND 581044394
7013648900
Source: CMS National Downloadable File, September 2026.