Individual
DR. WAYNE MARCUS MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M12065
ID
390200000X
Student in an Organized Health Care Education/Training Program
0116019824
VA
390200000X
Student in an Organized Health Care Education/Training Program
7152301-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
7152301-8905
UT
Other
Enumeration date
08/27/2007
Last updated
01/10/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up