Individual
DAVID A POLISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20060891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904498
—
NC
Enumeration date
11/17/2006
Last updated
07/30/2008
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