Organization
KIM N POLUDNIANYK DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM N POLUDNIANYK DO (OWNER)
(586) 493-3890
Entity
Organization
Contact information
Practice address
1030 HARRINGTON ST, SUITE 303, MOUNT CLEMENS, MI 48043-2967
(586) 493-3890
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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