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1780293969
ALEXANDER SWEND MORTENSEN
LA CROSSE, WI
NPI
1780293969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 9539)
Enumeration Date
2020-07-23
Last Update Date
2022-06-22
Business Address
ALEXANDER SWEND MORTENSEN
815 10TH ST S
LA CROSSE, WI 54601-4764
Phone number: 608-785-0940
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Mailing Address
ALEXANDER SWEND MORTENSEN
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940
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