Individual
MS. MARIA VICTORIA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379-3384
(952) 428-3535
(952) 428-3599
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9327
MN
Other
Enumeration date
12/29/2005
Last updated
07/15/2025
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