Individual
DR. ROBERT THOMAS KOCEMBO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
40566 ALDEN RD, BELLEVILLE, MI 48111-2852
(313) 719-8967
(313) 259-6006
Mailing address
40566 ALDEN RD, BELLEVILLE, MI 48111-2852
(313) 719-8967
(313) 259-6006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003828A
IN
152W00000X
Optometrist
MI4901003146
MI
Other
Enumeration date
07/01/2006
Last updated
04/12/2021
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