Individual
MARK D MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MAIN ST, NEENAH, WI 54956-2570
(920) 727-5810
Mailing address
101 MAIN ST, NEENAH, WI 54956-2570
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29026
WI
207R00000X
Internal Medicine Physician
Primary
29026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31488900
—
WI
Enumeration date
10/05/2006
Last updated
04/10/2014
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