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NPI Code Detail

MEDICARE: DR. MICHELL ANNETTE COHN D.O.

MEDICARE:  DR. MICHELL ANNETTE COHN  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician3843OK

General Provider Information

NPI Number : 1801966155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELL ANNETTE COHN D.O.
Provider Business Mailing Address
First Line : 14709 LAMPLIGHT LN
Second Line :
City : EDMOND
State : OK
Zip : 73013-1591
Country : US
Telephone Number : 405-922-1054
Fax Number : 405-692-2064
Provider Business Practice Location Address
First Line : 12324 SAINT ANDREWS DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-8604
Country : US
Telephone Number : 405-607-1333
Fax Number : 405-607-1330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 09/01/2020

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Directions to “ DR. MICHELL ANNETTE COHN D.O.” Practice Location

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