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Individual
DR. MARK-ALLEN NISON POLYAKOV
Active
Individual
DR. MARK-ALLEN NISON POLYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19068
HI
207R00000X
Internal Medicine Physician
A132011
CA
208M00000X
Hospitalist Physician
Primary
69890
WI
Other
Enumeration date
06/22/2011
Last updated
04/18/2019
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