Individual
MICHAEL R MOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
453 E LANCASTER AVE, SHILLINGTON, PA 19607-1371
(610) 775-3321
(610) 775-8542
Mailing address
453 E LANCASTER AVE, SHILLINGTON, PA 19607-1371
(610) 775-3321
(610) 775-8542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000048
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410006144
MEDICARE RAILROAD
PA
Enumeration date
07/12/2005
Last updated
03/13/2014
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