Individual
DENNIS GERE POLZIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36429 ROW RIVER RD, COTTAGE GROVE, OR 97424-9424
(262) 235-2608
Mailing address
36429 ROW RIVER RD, COTTAGE GROVE, OR 97424-9424
(262) 235-2608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009205
AZ
207Q00000X
Family Medicine Physician
Primary
DO197631
OR
207Q00000X
Family Medicine Physician
OP61031952
WA
Other
Enumeration date
04/11/2018
Last updated
10/14/2021
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