Individual
DAVID MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MERCY DR STE 220, COUNCIL BLUFFS, IA 51503-3128
(712) 388-2660
Mailing address
800 MERCY DR, STE 220, COUNCIL BLUFFS, IA 51503-3128
(712) 388-2660
(712) 388-2665
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
26750
NE
208600000X
Surgery Physician
Primary
35976
IA
Other
Enumeration date
01/02/2007
Last updated
09/19/2017
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