Individual
DR. MICHAEL KENNETH HENRY KOSSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1038 ROME BEAUTY DR, AMHERST, OH 44001-3142
(440) 724-0442
(216) 741-6653
Mailing address
1038 ROME BEAUTY DR, AMHERST, OH 44001-3142
(440) 724-0442
(216) 741-6653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4945
OH
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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