Individual
POLLY FLEET TRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 S KNOXVILLE AVE STE B, SAINT MARYS, OH 45885-2609
(419) 394-7314
(419) 394-7313
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-7313
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.097288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067286
—
OH
01
—
H261773
MEDICARE PTAN
OH
Enumeration date
04/03/2007
Last updated
04/07/2021
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