Individual
DR. MICHAEL JAMES POLIZZOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
Mailing address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36113709
IL
Other
Enumeration date
08/15/2005
Last updated
09/08/2011
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