Individual
MRS. MARINA LEYBOVNA POLYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 691-8646
Mailing address
12745 S SAGINAW ST, #806-196, GRAND BLANC, MI 48439-2437
(248) 691-8646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
05015179
PA
207R00000X
Internal Medicine Physician
0T012225
PA
208M00000X
Hospitalist Physician
Primary
5101019649
MI
Other
Enumeration date
01/23/2008
Last updated
04/11/2017
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