Individual
DR. THOMAS M POLOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115
(218) 855-1183
Mailing address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115
(218) 855-1183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4117
ND
Other
Enumeration date
09/30/2006
Last updated
12/28/2009
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