PHILLIP A KOHANOV

FORT GRATIOT, MI
NPI1184615742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901003217)
Enumeration Date2005-11-02
Last Update Date2012-06-06
Business Address
Dr. PHILLIP A KOHANOV O.D.
3833 24TH AVE
FORT GRATIOT, MI 48059-4100
Phone number: 810-985-5600
Mailing Address
Dr. PHILLIP A KOHANOV O.D.
3833 24TH AVE
FORT GRATIOT, MI 48059-4100
Phone number: 810-985-5600
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