Individual
DR. MICHAEL DAVID MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DOCTOR OF CHIROPR
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3941
MN
Other
Enumeration date
09/13/2006
Last updated
03/07/2025
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