PHILLIP A. KOHANOV O.D. PC

FORT GRATIOT, MI
NPI1821279159
Entity TypeOrganization
Authorized ContactPHILLIP A. KOHANOV
Optometrist
810-985-5600
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2007-11-15
Last Update Date2012-06-05
Business Address
PHILLIP A. KOHANOV O.D. PC
3833 24TH AVE
FORT GRATIOT, MI 48059-4100
Phone number: 810-985-5600
Mailing Address
PHILLIP A. KOHANOV O.D. PC
3833 24TH AVE
FORT GRATIOT, MI 48059-4100
Phone number: 810-985-5600