Individual
DR. MAYNARD DILLON POLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10648 SISTER BLUFF DR # 3C, SISTER BAY, WI 54234-9081
(920) 854-4650
Mailing address
10648 SISTER BLUFF DR # 3C, SISTER BAY, WI 54234-9081
(920) 854-4650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16266-20
WI
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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