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Search › Minnesota › 208100000X

Callen Mouritsen

NPI 1013507615 · on the registry since 2021 · sole proprietor

Practice

Address
1131 S Mabelle Ave
Fergus Falls, MN 56537
Phone
(218) 998-1500
Organisation at this address
Pioneer Home Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota