Individual
KATHLEEN POLONCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 SHERIDAN RD, FAIRFIELD, ME 04937-3314
(207) 453-3100
(207) 453-3082
Mailing address
4 SHERIDAN RD, FAIRFIELD, ME 04937-3314
(207) 453-3100
(207) 453-3082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDMD21696
ME
Other
Enumeration date
06/04/2014
Last updated
01/20/2021
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