DR. Phillip A Kohanov, O.D.
NPI #1184615742 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1184615742
- Entity Type
- Individual
- Name
- DR. Phillip A Kohanov, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Nov 2, 2005
- Last Updated
- Jun 6, 2012
Practice Location
- Address
- 3833 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-4100
- Phone
- (810) 985-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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