Individual
DR. MAXIM ALEXANDROVICH POLANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036159949
IL
207ND0101X
MOHS-Micrographic Surgery Physician
73235
WI
Other
Enumeration date
06/06/2015
Last updated
05/10/2024
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