Individual
MARGARET ANN COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2194 HEWITT AVE, KETTERING, OH 45440-4242
(937) 438-1717
(937) 438-3469
Mailing address
2194 HEWITT AVE, KETTERING, OH 45440-4242
(937) 438-1717
(937) 438-3469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3944 T783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672151
—
OH
Enumeration date
03/15/2006
Last updated
09/30/2010
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