DR. PHILLIP KOHANOV, O.D.

Optometrist

Active Individual
NPI: 1184615742

Practice Address

3833 24TH AVE
Fort Gratiot, MI 48059

Phone: (810) 985-5600

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 4901003217 (MI)

Frequently Asked Questions

NPI 1184615742 is the National Provider Identifier for DR. PHILLIP KOHANOV, O.D., a Optometrist provider located in Fort Gratiot, MI. This NPI was enumerated on November 2, 2005.
DR. PHILLIP KOHANOV, O.D. practices at 3833 24TH AVE, Fort Gratiot, MI 48059.

Quick Facts

NPI
1184615742
Type
Individual
Enumerated
Nov 2, 2005
Last Updated
Jun 6, 2012

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