Individual
MICHAEL MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 W IRONWOOD DR STE 350, COEUR D ALENE, ID 83814-4487
(208) 676-9913
(208) 666-0885
Mailing address
700 W IRONWOOD DR, 320, COEUR D ALENE, ID 83814-2656
(208) 676-9913
(208) 666-0885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-1151
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18113
LICENSE
CA
Enumeration date
01/14/2007
Last updated
07/24/2025
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