# DR. MICHAEL P POLSINELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538280623
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3327 | OH | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 01/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000361033 | ANTHEM AND BLUE CROSS | OH |
| 01 | — | 043727404-00 | WORKERS COMP | OH |
| 01 | — | H674461 | MEDICARE - PTAN | OH |