Individual
MR. RONALD LAVERN POLHILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP, RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704222452
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704222452
MI
Other
Enumeration date
09/21/2017
Last updated
06/16/2018
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