John A Mortensen

NPI #1407802564 in West Allis, Wisconsin

Provider Information

NPI Number: 1407802564
Entity Type: Individual
Name: John A Mortensen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Enumeration Date: May 26, 2006
Last Updated: May 23, 2014

Practice Location

Address: 2255 S 108TH ST
City: West Allis
State: Wisconsin
ZIP Code: 53227-1107
Phone: (414) 774-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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