Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1988
NPI: 1982657128
Practice Locations (4)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188442300
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE, ATTN BUSINESS OFFICE MANAGER
DETROIT LAKES, MN 565013409
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
Source: CMS National Downloadable File, September 2026.