Michael Kenneth Poliskie D.P.M.

NPI 1477658391 - Podiatrist - 213ES0103X

NPI Details
NPI 1477658391
Gender Male
Enumeration Date 09/14/2006
Last Updated 02/12/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1101 BRYAN AVE
SUITE E
TUSTIN CA, 92780-4485, US
Phone (714) 352-5550
Fax (714) 352-5599
Business Location
1101 BRYAN AVE
SUITE E
TUSTIN CA, 92780-4485, US
Phone (714) 352-5550
Fax (714) 352-5599
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E4530
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According to our database, Dr. Michael Kenneth Poliskie D.P.M. NPI is 1477658391, taxonomy code is 213ES0103X and license number is E4530, license state is located at California. Michael Kenneth Poliskie D.P.M. physically located at 1101 Bryan Ave, Tustin CA, 92780-4485. NPI Number Michael Kenneth Poliskie D.P.M. has the Individual type.

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1477658391 NPI number is provided on an as is basis without warranty of any kind. 1477658391 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Kenneth Poliskie D.P.M. are for informational purposes only.