Provider Demographics
NPI:1598785313
Name:COHN, EDWARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:COHN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3535 W. 13 MILE
Mailing Address - Street 2:STE 506
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6704
Mailing Address - Country:US
Mailing Address - Phone:248-551-8282
Mailing Address - Fax:248-551-9085
Practice Address - Street 1:3535 W. 13 MILE
Practice Address - Street 2:STE 506
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6704
Practice Address - Country:US
Practice Address - Phone:248-551-8282
Practice Address - Fax:248-551-9085
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2011-08-17
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Provider Licenses
StateLicense IDTaxonomies
MI036622207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2108030Medicaid
MI2108030Medicaid