Whalio Doctors

NPI 1043215528

Bryan Mohr, DPM

Practitioner Podiatrist Richfield, MN

Practice location

Address
6625 Lyndale Ave S STE 105, Richfield, MN 55423-2673
Phone
(612) 788-8778
Fax
(612) 869-3473
Mailing address
6625 Lyndale Ave S STE 300, Richfield, MN 55423-2491

Registered specialties (2)

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 631 (MN)
Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1164-25 (WI)

Registry record

NPI
1043215528
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jun 2005
Record last updated
29 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.