Active NPI 1588044366 Individual Practitioner Male Practitioner

John Kohorst

Dermatology - MOHS-Micrographic Surgery • Onalaska, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Kohorst is a certified Dermatology - MOHS-Micrographic Surgery practicing in Onalaska, WI. With approximately 11 years of clinical experience since completing medical education in 2015, John Kohorst delivers high-quality medical care to the local community at 191 THEATER RD.

John Kohorst is affiliated with Mayo Clinic Health System-Southwest Wisconsin Region Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

191 Theater Rd

Onalaska, WI 546508679

Telephone 6087850940

Associated Practice Facility / Clinic

🏢 Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Facility NPI 1831109073

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Onalaska, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 17.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Onalaska, WI (18 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kohorst (11 Years) 11 Yrs

Onalaska Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	684	508	$2072.00	$290.39
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	192	147	$1259.00	$181.08
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	138	131	$737.00	$96.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	85	59	$333.00	$53.94
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	81	61	$1902.00	$250.31
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	69	68	$855.00	$105.35
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	65	64	$2220.00	$160.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	64	60	$804.00	$104.47
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	59	57	$649.00	$96.34
11102 Tangential biopsy of single skin lesion	45	36	$216.00	$24.49
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	32	15	$1464.00	$200.21
15630 Transfer of skin flap to eyelids, nose, ears, or lips	26	25	$1690.00	$334.06
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	25	25	$3824.00	$826.78
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	24	24	$3510.00	$774.20
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	22	21	$829.00	$98.80
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	21	21	$1754.00	$145.15
11103 Biopsy of related skin growth, each additional growth	21	11	$117.00	$21.04
15576 Creation of flap graft to eyelids, nose, ears, lips, or mouth	20	20	$3094.00	$595.71
12054 Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	15	$1062.00	$105.08
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	13	13	$1176.00	$167.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$848.00	$150.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	598	458	$1970.00	$276.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	230	157	$1197.00	$178.75
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	110	105	$701.00	$95.48
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	81	55	$316.00	$52.48
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	73	69	$1809.00	$284.39
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	67	66	$813.00	$101.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	66	64	$765.00	$98.19
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	56	55	$2110.00	$156.68
17003 Destruction of precancer skin growth, 2-14 growths	56	12	$39.00	$2.00
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	52	50	$617.00	$92.60
11102 Tangential biopsy of single skin lesion	35	33	$205.00	$26.05
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	32	31	$3636.00	$813.00
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	28	28	$1668.00	$142.85
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$139.00	$62.90
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	23	23	$3338.00	$773.44
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	21	$2921.00	$584.44
15630 Transfer of skin flap to eyelids, nose, ears, or lips	21	20	$1659.05	$310.52
11102 Tangential biopsy of single skin lesion	20	20	$205.00	$30.37
12054 Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	20	19	$1010.00	$102.66
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	20	20	$789.00	$101.45
17000 Destruction of skin growth	18	18	$169.00	$52.27
15576 Creation of flap graft to eyelids, nose, ears, lips, or mouth	16	15	$2942.00	$556.79
88342 Special stained specimen slides to examine tissue, initial procedure	16	15	$171.00	$33.57
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	15	11	$1392.00	$198.60
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$3090.00	$801.03
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$3079.00	$654.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	548	401	$1907.00	$274.57
17003 Destruction of precancer skin growth, 2-14 growths	308	61	$37.00	$2.05
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	227	178	$1159.00	$178.70
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	86	70	$1752.00	$277.84
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	80	60	$306.00	$54.83
17000 Destruction of skin growth	80	69	$163.00	$51.65
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	77	75	$679.00	$95.41
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$132.00	$64.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	67	60	$543.00	$97.82
17003 Destruction of precancer skin growth, 2-14 growths	65	15	$37.00	$2.05
11102 Tangential biopsy of single skin lesion	64	63	$199.00	$27.66
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	59	59	$1615.00	$143.28
11102 Tangential biopsy of single skin lesion	57	49	$199.00	$20.98
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	56	55	$597.00	$93.31
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	45	45	$2043.00	$158.52
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	42	41	$787.00	$101.02
11103 Biopsy of related skin growth, each additional growth	33	23	$107.00	$20.81
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	33	32	$3231.00	$771.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$197.00	$79.28
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	24	24	$611.00	$104.64
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$2770.00	$601.70
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	22	21	$1082.00	$165.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$197.00	$94.76
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	19	18	$3520.00	$816.15
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$781.00	$112.60
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	16	16	$2922.00	$652.01
17000 Destruction of skin growth	15	15	$163.00	$48.90
12054 Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$978.00	$102.38
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	11	11	$2721.00	$680.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	488	364	$1862.54	$280.20
17003 Destruction of precancer skin growth, 2-14 growths	367	64	$36.00	$2.07
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	251	165	$1131.00	$180.17
11102 Tangential biopsy of single skin lesion	125	108	$194.00	$26.81
17000 Destruction of skin growth	95	79	$159.00	$45.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	81	59	$299.00	$63.94
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	74	72	$1589.20	$147.49
99213 Established patient office or other outpatient visit, typically 15 minutes	74	64	$129.00	$65.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	64	57	$529.00	$109.41
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	57	57	$662.00	$95.37
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	52	42	$1709.00	$260.68
11103 Biopsy of related skin growth, each additional growth	49	34	$105.00	$21.15
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	47	46	$583.00	$95.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	39	$46.00	$22.16
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	40	40	$1993.00	$165.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$191.00	$80.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$195.27	$96.38
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	27	27	$768.00	$102.46
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	22	$1066.00	$124.11
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	24	24	$3434.00	$823.61
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	22	$2702.00	$620.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$290.00	$130.98
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	18	16	$2851.00	$646.50
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$129.00	$47.34
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	14	14	$3153.00	$743.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$762.00	$131.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$78.00	$34.76
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)	12	12	$2654.00	$725.61
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	12	11	$1056.00	$169.53
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$596.00	$106.73
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$2862.00	$734.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	125	106	$1860.00	$274.83
17003 Destruction of precancer skin growth, 2-14 growths	66	13	$36.00	$2.16
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	59	46	$1131.00	$185.18
11102 Tangential biopsy of single skin lesion	31	30	$194.00	$28.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	15	$299.00	$55.16
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$126.00	$49.30
17000 Destruction of skin growth	20	20	$159.00	$46.26
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	17	17	$1575.00	$151.51
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$529.00	$123.39
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$583.00	$103.39
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	12	11	$1709.00	$215.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$46.00	$17.06
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$125.00	$47.84
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$662.00	$86.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	91	16	$5.58	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$79.10	$74.05
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$94.57	$49.55
17000 Destruction of skin growth	20	20	$42.44	$42.40
11102 Tangential biopsy of single skin lesion	20	19	$84.70	$84.63
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$116.04	$48.92
11102 Tangential biopsy of single skin lesion	14	14	$108.66	$33.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	155	38	$10.75	$5.13
17003 Destruction of precancer skin growth, 2-14 growths	46	13	$52.50	$2.26
17000 Destruction of skin growth	43	43	$72.67	$51.61
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$92.85	$71.86
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$90.91	$49.94
17110 Destruction of up to 14 skin growths	18	18	$145.90	$111.71
11100 Biopsy of single growth of skin and/or tissue	18	18	$155.35	$101.86
17000 Destruction of skin growth	18	18	$123.83	$49.11
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$104.68	$49.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$218.18	$106.20
11100 Biopsy of single growth of skin and/or tissue	15	15	$166.81	$34.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	166	40	$6.08	$5.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	100	$117.12	$99.83
17000 Destruction of skin growth	54	53	$72.80	$56.09
11100 Biopsy of single growth of skin and/or tissue	41	40	$116.71	$90.03
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$82.50	$66.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$177.10	$151.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$116.63	$99.85
11101 Biopsy of each additional growth of skin and/or tissue	17	15	$42.04	$28.35
17110 Destruction of up to 14 skin growths	16	16	$130.62	$98.36

Medical Specialties & State Licenses

CMS Verified: 2020-10-05

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License WI 73195

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License WI 73195

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License MN 60799

Hospital & Practice Group Affiliations

Mayo Clinic Health System-Southwest Wisconsin Region Inc

800 E Blackhawk Ave, Prairie Du Chien, WI 538211698

Phone: 6083260808

Mayo Clinic Health System-Southwest Wisconsin Region Inc

800 W Ave S, La Crosse, WI 546018806

Phone: 6087850940

Mayo Clinic Health System-Southwest Wisconsin Region Inc

191 Theater Rd, Onalaska, WI 546508679

Phone: 6083925000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Ariel Ferdock , PharmD

Pharmacist

NPI 1003398488

Doctor of Pharmacy (Pharm.D.)

Catherine Ziegler , FNP

Nurse Practitioner

NPI 1013214717

Family Nurse Practitioner

Dr. Gabriel Berendes , MD

Family Medicine

NPI 1013250653

Doctor of Medicine (M.D.)

Lisa Malmo

Nurse Practitioner

NPI 1013305481

Rebecca Rohe , LPC

Counselor - Mental Health

NPI 1013744606

Licensed Professional Counselor

Lisa Campbell , LCSW

Student in an Organized Health Care Education/Training Program

NPI 1013831791

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2020

Dermatology (License #73195 in WI)

📍

Updated Practice Location July 23, 2020

Registered at 191 THEATER RD, ONALASKA, WI 546508679 (Tel: 6087850940)

📍

Updated Business Mailing Address July 23, 2020

Registered at PO BOX 1510, EAU CLAIRE, WI 547021510 (Tel: 1715838522)

📍

Updated Business Mailing Address June 21, 2019

Registered at 4603 FM 1463 RD, STE 100, KATY, TX 774946545 (Tel: 2816120050)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2019

Dermatology (License #60799 in MN)

✅

NPI Profile Active June 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2015

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Business Mailing Address June 05, 2015

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤

Provider Name / Credentials Updated June 05, 2015

Recorded as JOHN KOHORST

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588044366

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 05, 2015

Last Update: October 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1510

Eau Claire, WI 547021510

Phone: 1715838522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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