Individual provider · Type 1 NPI
Marvin Harry Mortensen, DC
Chiropractor · Brandon, WI
NPI number
1215098249
Active
Practice location
162 E Main St, Mortensen Chiropractic Office
Brandon, WI 53919
Mailing address
PO Box 277, 162 E Main St
Brandon, WI 53919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2003012 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1215098249
Marvin Harry Mortensen, DC's National Provider Identifier is 1215098249, issued on Dec 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brandon, WI. The record was last updated on Jul 8, 2007.