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Phillip Kohanov, O.D
NPI 1184615742 · on the registry since 2005 · sole proprietor
Practice
- Address
- 3833 24th Ave
Fort Gratiot, MI 48059 - Phone
- (810) 985-5600
- Fax
- (910) 985-5740
- Organisation at this address
- Phillip A. Kohanov O.D. Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan