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Individual

DR. STACY LEIGH MOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
305 E 12TH ST, KAUKAUNA, WI 54130-2865
(920) 766-4656
(920) 766-4659
Mailing address
305 E 12TH ST, KAUKAUNA, WI 54130-2865
(920) 766-7656
(920) 766-4659

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62695-20
WI

Other

Enumeration date
06/08/2011
Last updated
04/24/2026
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