Provider Demographics
NPI:1417047879
Name:KOHEN, DANIEL P (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:P
Last Name:KOHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10505 WAYZATA BLVD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1502
Mailing Address - Country:US
Mailing Address - Phone:763-546-5797
Mailing Address - Fax:763-546-5754
Practice Address - Street 1:10505 WAYZATA BLVD
Practice Address - Street 2:SUITE #200
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1502
Practice Address - Country:US
Practice Address - Phone:763-546-5797
Practice Address - Fax:763-546-5754
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2013-05-30
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Provider Licenses
StateLicense IDTaxonomies
MN24205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics