Individual
MIRANDA KAYE MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3711
(906) 632-2522
(906) 632-2370
Mailing address
97 S 4TH ST STE C, ISHPEMING, MI 49849-2168
(906) 228-9699
(888) 977-2109
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704334347
MI
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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