Individual
MARY CATHERINE MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4786 BANNING AVE, WHITE BEAR LAKE, MN 55110-3264
(651) 426-6402
(651) 429-3402
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70152
MN
207Q00000X
Family Medicine Physician
R-11163
IA
Other
Enumeration date
05/22/2018
Last updated
10/18/2021
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