Gavin Stormont
Gavin Stormont is an Urology in New Ulm, Minnesota. Qualified in 2017, 9 years ago. Practices with Ccm Health, a 62-clinician group. Licensed in Minnesota.
- Years since qualifying
- 9
- Licensed in
- MN
- In the registry since
- 2017
Practice location Address checks out
1217 8th St NNew Ulm, MN 56073-1552
Phone: (507) 217-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 71498 (MN) |
|---|
Record details
| NPI number | 1639690589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 30, 2017 |
| Last updated in NPPES | September 4, 2024 |
| Certification date | September 4, 2024 |
| Mailing address | 2925 Chicago Ave, Minneapolis, MN 55407-1321 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Ccm Health — 62 clinicians |
| Accepts Medicare assignment | Not indicated |