Graduated: 2022
NPI: 1992425441
Practice Locations (2)
ST MARYS REGIONAL HEALTH CENTER
1027 WASHINGTON AVE
DETROIT LAKES, MN 565013409
2188475611
INNOVIS HEALTH LLC
1702 UNIVERSITY DR S
FARGO, ND 581034940
7013648900
Source: CMS National Downloadable File, September 2026.