Individual
KRISTOPHER POLIAKIWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 10TH AVE S STE 200, GREAT FALLS, MT 59405-2619
(406) 866-0350
(406) 403-0263
Mailing address
1500 10TH AVE S STE 200, GREAT FALLS, MT 59405-2619
(406) 866-0350
(406) 403-0263
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
107704
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
07/18/2017
Last updated
04/15/2025
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