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Individual

PETER J POLEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(143) 892-1314

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
65955
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100062244
WI
Enumeration date
06/04/2014
Last updated
03/20/2023
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