Individual
DR. BRETT DAVID MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 5TH AVE NE, ISANTI, MN 55040-2205
(763) 688-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409898600
—
MN
Enumeration date
02/05/2007
Last updated
02/15/2023
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