Individual
MR. DOUGLAS O KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12000 MCCRACKEN ROAD, SUITE 550, GARFIELD HEIGHTS, OH 44125
(216) 663-8686
(216) 663-2153
Mailing address
12000 MCCRACKEN ROAD, SUITE 550, GARFIELD HEIGHTS, OH 44125
(216) 663-8686
(216) 663-2153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35071467
OH
207R00000X
Internal Medicine Physician
Primary
35071467K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064653
—
OH
Enumeration date
08/02/2005
Last updated
09/03/2010
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