NPI 1013507615

Callen S Mouritsen

Practitioner Physical Medicine & Rehabilitation Physician Fergus Falls, MN

Practice location

Address: 1131 S Mabelle Ave, Fergus Falls, MN 56537-3723
Phone: (218) 998-1500
Mailing address: 901 N Union Ave, Fergus Falls, MN 56537-1212

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 11934 (MN)

Other Physical Medicine & Rehabilitation providers in Minnesota →

Registry record

NPI: 1013507615
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2021
Record last updated: 19 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.