Individual
ALEXANDER POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 E MULLAN AVE, OSBURN, ID 83849-0480
(208) 784-7800
Mailing address
1919 N 3RD ST, COEUR D ALENE, ID 83814-3540
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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