Provider Demographics
NPI:1801966155
Name:COHN, MICHELL ANNETTE (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELL
Middle Name:ANNETTE
Last Name:COHN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:14709 LAMPLIGHT LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1591
Mailing Address - Country:US
Mailing Address - Phone:405-922-1054
Mailing Address - Fax:405-692-2064
Practice Address - Street 1:12324 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8604
Practice Address - Country:US
Practice Address - Phone:405-607-1333
Practice Address - Fax:405-607-1330
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2020-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3843208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery