Individual
MICHAEL COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3804 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1081
(505) 884-7800
(505) 884-7931
Mailing address
3804 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1081
(505) 884-7800
(505) 884-7931
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213ES0131X
—
NM
01
—
480012030
RAILROAD MEDICARE
NM
01
—
NM154
STATE PODIATRY LICENSE
NM
Enumeration date
06/16/2005
Last updated
08/25/2009
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