Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diane Mortimer, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225270457

Dr. Diane Mortimer, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota and Ohio. Registered with an NPI since 2009.

Licensed in
MN, OH
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Park Ave Pm&r
Minneapolis, MN 55415-1623
Phone: (585) 319-7732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 57448 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 098993 (OH)

Record details

NPI number1225270457
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESDecember 14, 2014

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