Individual
JOHN KOHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
60799
MN
207N00000X
Dermatology Physician
73195
WI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
73195
WI
Other
Enumeration date
06/05/2015
Last updated
10/05/2020
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