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GREG AUGUST MORTENSEN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1972558195

Individual Registrant:
 GREG AUGUST MORTENSEN D.C.
Gender: M

Location and contact information for practice:
205 NORTH CARVER STREET  WINTHROP, MN 55396 US
Tel: 507-647-3700  Fax: --

Contact information for business:
205 NORTH CARVER STREET  WINTHROP, MN 55396 US
Tel: 507-647-3700  Fax: --

Registration Information:
NPI: 1972558195
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
MN4536

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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