Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL MORTENSEN, DO
ActiveDR. MICHAEL MORTENSEN, DO is a Endocrinology, Diabetes & Metabolism healthcare provider located in FLAGSTAFF, Arizona. NPI 1679709273 is currently active in the NPPES registry. Verify at CMS.
Endocrinology, Diabetes & Metabolism · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1679709273
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2009 (17.211403534794 yrs)
- Last Updated
- Aug 2, 2021
- Licenses
-
005862 (AZ)R1693 (AZ)005862 (AZ)
Practice Information
- Address
-
1200 N BEAVER STFLAGSTAFF, AZ, 860013118Browse AZ providers · Browse ZIP 86001
- Phone
- 9282142920
- Fax
- 9282142925
- Primary Specialty
-
Endocrinology, Diabetes & Metabolism
207RE0101X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Endocrinology, Diabetes & Metabolism
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.