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Individual
MICHAEL ISIDRO POLO
Active
Individual
MICHAEL ISIDRO POLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A107883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A107883
STATE LICENSE
CA
Enumeration date
01/30/2007
Last updated
01/25/2019
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