Phillip A. Kohanov O.d. PC
NPI #1821279159 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1821279159
- Entity Type
- Organization
- Organization Name
- Phillip A. Kohanov O.d. PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 15, 2007
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 3833 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-4100
- Phone
- (810) 985-5600
Authorized Official
- Name
- DR. PHILLIP A. KOHANOV, O.D.
- Title
- OPTOMETRIST
- Phone
- (810) 985-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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