Individual
MICHAEL F POLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
640 S STATE STREET, DEPT OF RADIOLOGY, DOVER, DE 19901-3530
(302) 674-2202
Mailing address
10850 W. PARK PLACE, SUITE 1100, MILWAUKEE, WI 53224-3606
(414) 359-5745
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C2-0005715
DE
Other
Enumeration date
10/11/2006
Last updated
02/23/2012
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