Individual
DR. ANDREA MARIE POLZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3027 TAYLOR ST, MARINETTE, WI 54143-1428
(920) 379-8608
Mailing address
3027 TAYLOR ST, MARINETTE, WI 54143-1428
(920) 379-8608
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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