Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2013
NPI: 1316381965
Practice Locations (2)
CCM HEALTH
824 N 11TH ST
MONTEVIDEO, MN 562651629
3202698877
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 562013556
3202315000
Source: CMS National Downloadable File, September 2026.