Individual
DR. PETER JOHN POLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3071 UKIUKI PL, HONOLULU, HI 96819-3055
(808) 675-6315
Mailing address
3071 UKIUKI PL, HONOLULU, HI 96819-3055
(808) 675-6315
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1453
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861231680
ADDING INDIVIDUAL PROVIDER TO BUSINESS
HI
Enumeration date
02/05/2010
Last updated
06/04/2024
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