Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1457903551
Practice Locations (2)
CCM HEALTH
140 NW 1ST AVE
CLARA CITY, MN 562220299
3208473711
CCM HEALTH
824 N 11TH ST
MONTEVIDEO, MN 562651629
3202698877
Source: CMS National Downloadable File, September 2026.