Individual
AWS POLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 6A&6B, DETROIT, MI 48201-2153
(313) 745-4627
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301509759
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/14/2020
Last updated
05/18/2024
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