| LCA CASE NUMBER | I-200-23080-866926 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-21 |
| DECISION DATE | 2023-03-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician with Sports Medicine |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Croix Regional Medical Center, Inc. |
| TRADE NAME DBA | St. Croix Health |
| EMPLOYER ADDRESS1 | 235 E State Street |
| EMPLOYER CITY | St. Croix Falls |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54024 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17154830567 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Fuge |
| EMPLOYER POC FIRST NAME | Kristine |
| EMPLOYER POC MIDDLE NAME | Nelson |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer/General Counsel |
| EMPLOYER POC ADDRESS1 | 235 E State Street |
| EMPLOYER POC CITY | St. Croix Falls |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54024 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17154830567 |
| EMPLOYER POC EMAIL | kristine.fuge@scrmc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kildow |
| AGENT ATTORNEY FIRST NAME | Jeanne |
| AGENT ATTORNEY ADDRESS1 | 3950 IDS Center |
| AGENT ATTORNEY ADDRESS2 | 80 South 8th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123210082 |
| AGENT ATTORNEY EMAIL ADDRESS | jkildow@borene.com |
| LAWFIRM NAME BUSINESS NAME | Borene Law Firm, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 26425 Lakeland Avenue South |
| LCA CASE WORKLOC1 CITY | Webster |
| WORKSITE COUNTY | BURNETT |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54893 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
