Individual
MR. WAYNE STEVEN MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 S VAN BUREN ST, SUITE 101, GREEN BAY, WI 54301
(920) 430-8120
(920) 430-8122
Mailing address
720 S VAN BUREN ST, SUITE 101, GREEN BAY, WI 54301
(920) 430-8120
(920) 430-8122
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23664
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30367400
—
WI
Enumeration date
11/01/2006
Last updated
04/15/2008
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