Individual
ANDREA M. POLLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1230 E MAIN ST, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN STREET PO BOX 8674, MANKATO CLINIC, LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46827
MN
207R00000X
Internal Medicine Physician
47793
WI
208M00000X
Hospitalist Physician
47793-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34665400
—
WI
Enumeration date
02/13/2006
Last updated
02/15/2012
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