# ZABLOCKI VA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376988402
- **Authorized official:** DR. MARK DAVID MOHR MD (DOCTOR)
- **Authorized official phone:** (715) 370-7562

## Contact information

- **Practice address:** 5922 BLUFF LEDGE RD, STURGEON BAY, WI 54235-8148
- **Practice address phone:** (715) 370-7562
- **Mailing address:** 5922 BLUFF LEDGE ROAD, STURGEON BAY, WI 54235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 29026 | WI | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013