Individual
GEORGE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101010995
MI
2085R0204X
Vascular & Interventional Radiology Physician
5101010995
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4370681
—
MI
Enumeration date
01/28/2006
Last updated
01/13/2016
Update your record
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