EMMETT DEWAYNE COSGROVE

SOUTH HAVEN, MI
NPI1316941255
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  002521)
Enumeration Date2005-06-09
Last Update Date2008-08-18
Business Address
-- EMMETT DEWAYNE COSGROVE OD
11282 M140 HIGHWAY
SOUTH HAVEN, MI 49090-9405
Phone number: 269-637-1569
Mailing Address
-- EMMETT DEWAYNE COSGROVE OD
11282 M140 HIGHWAY
SOUTH HAVEN, MI 49090-9405
Phone number: 269-637-1569