NPI 1316941255

Emmett Dewayne Cosgrove, OD

Practitioner Optometrist South Haven, MI

Practice location

Address: 11282 M140 Highway, South Haven, MI 49090-9405
Phone: (269) 637-1569
Fax: (269) 637-4519

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 002521 (MI)

Other Optometrist providers in Michigan →

Registry record

NPI: 1316941255
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2005
Record last updated: 18 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.