Organization
MORTENSEN AUDIOLOGY CLINICS LLC
Active
Other names
SONUS SF 0001
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A MORTENSEN AU.D (OWNER/AUDIOLOGIST)
(414) 774-4200
Entity
Organization
Contact information
Practice address
2255 S 108TH ST, WEST ALLIS, WI 53227-1107
(414) 774-4200
(414) 774-6828
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(888) 510-0766
(763) 268-4017
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
03/08/2011
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