NPI 1407802564

John a Mortensen

Practitioner Audiologist West Allis, WI

Practice location

Address: 2255 S 108th St, West Allis, WI 53227-1107
Phone: (414) 774-4200
Fax: (414) 774-6828

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 365-156 (WI)

Other Audiologist providers in Wisconsin →

Registry record

NPI: 1407802564
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2006
Record last updated: 23 May 2014

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.