Individual
DR. DIJANA POLJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, STE 710, SAINT LOUIS, MO 63108-1495
(314) 273-4724
(314) 362-0049
Mailing address
4901 FOREST PARK AVE, MAILSTOP 8064-37-1005, SAINT LOUIS, MO 63108-1495
(314) 273-4724
(314) 362-0049
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2019005178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200070770
—
MO
Enumeration date
03/30/2015
Last updated
08/01/2019
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