Provider Demographics
NPI:1144298027
Name:COHEN, NORMAN E (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:E
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10150 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2145
Mailing Address - Country:US
Mailing Address - Phone:414-321-7520
Mailing Address - Fax:414-321-9383
Practice Address - Street 1:735 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-2413
Practice Address - Country:US
Practice Address - Phone:414-298-0099
Practice Address - Fax:414-298-0092
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI17360207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30939000Medicaid
WI000902920Medicare ID - Type Unspecified
WIB52141Medicare UPIN