Individual
KERRY POLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1800
(616) 685-1818
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3482137
—
MI
05
—
4166697
—
MI
05
—
4181764
—
MI
05
—
4181782
—
MI
05
—
4181817
—
MI
05
—
4877465
—
MI
Enumeration date
05/19/2006
Last updated
06/30/2009
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