Graduated: 2013
NPI: 1609218833
Practice Locations (2)
CCM HEALTH
824 N 11TH ST
MONTEVIDEO, MN 562651629
3202698877
CENTRACARE CLINIC SOUTHWEST LLC
600 PETERSON PKWY
NEW LONDON, MN 562737823
3203542222
Source: CMS National Downloadable File, September 2026.