Organization
ZABLOCKI VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID MOHR MD (DOCTOR)
(715) 370-7562
Entity
Organization
Contact information
Practice address
5922 BLUFF LEDGE RD, STURGEON BAY, WI 54235-8148
(715) 370-7562
Mailing address
5922 BLUFF LEDGE ROAD, STURGEON BAY, WI 54235
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
29026
WI
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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