Individual
BRENDON ISAAC IAN POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 CLOVERFIELD CT, MIFFLINTOWN, PA 17059-9033
(717) 695-1564
Mailing address
56 CLOVERFIELD CT, MIFFLINTOWN, PA 17059-9033
(717) 695-1564
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
61387102
WA
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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