Individual
JOSEPH POLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, FAAFP
Contact information
Practice address
2100 RAYBROOK ST SE STE 100B, GRAND RAPIDS, MI 49546-7759
(616) 320-0096
(616) 320-0097
Mailing address
2100 RAYBROOK ST SE STE 100B, GRAND RAPIDS, MI 49546-7759
(616) 320-0096
(616) 320-0097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013013
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4100022
—
MI
05
—
4148330
—
MI
05
—
4168495
—
MI
05
—
4202318
—
MI
05
—
4591664
—
MI
05
—
4876931
—
MI
Enumeration date
05/25/2006
Last updated
03/27/2024
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