Individual
MARK GREGGERY AUGUST MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 NORTH CARVER STREET, WINTHROP, MN 55396
(507) 647-3700
Mailing address
PO BOX 175, 205 N CARVER ST, WINTHROP, MN 55396-0175
(507) 647-3700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4536
MN
Other
Enumeration date
05/24/2006
Last updated
06/29/2023
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