Individual
MICHAEL AARON KOHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD457517
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26499
MSO DATABASE NUMBER
MD
Enumeration date
04/26/2011
Last updated
05/03/2017
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