Individual
ANITSIRA COLLADO POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68391
MN
207R00000X
Internal Medicine Physician
C1496
KY
207R00000X
Internal Medicine Physician
E-9789
AR
Other
Enumeration date
06/17/2014
Last updated
04/05/2023
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