Individual
MR. JEFFREY JOHN MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1885 PLAZA DR, EAGAN, MN 55122-2979
(952) 993-4001
(952) 993-4095
Mailing address
3229 OAKLAND AVE, MINNEAPOLIS, MN 55407-2003
(612) 210-1983
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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