Jerome D. Poland, M.D., Ltd in Onamia - Specialist

Jerome D. Poland, M.D., Ltd - NPI 1366621534

Jerome D. Poland, M.D., Ltd is a Specialist in Onamia, Minnesota. Jerome D. Poland, M.D., Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jerome D. Poland, M.D., Ltd is 1366621534. The last update date is 2008-04-04.

Jerome D. Poland, M.D., Ltd's current location address is 200 Elm St N, Onamia, Minnesota. You can contact this provider via phone number 3205323154 and fax number 3205323111. The mailing address for Jerome D. Poland, M.D., Ltd is 200 Elm St N, Onamia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerome D. Poland, M.D., Ltd
Address 200 Elm St N, Onamia, Minnesota
Phone Number 3205323154
Fax Number 3205323111
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Cook M Karin
Telephone Number 2185465108

NPI Number Detail

NPI Number 1366621534
Provider Enumeration Date 2007-10-24
Last Updated Date 2008-04-04

Provider Mailing Address Detail

Address 200 Elm St N
City Onamia
State Minnesota (MN)
Post Code 563597901
Phone Number 3205323154
Fax Number 3205323111

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
566R0CR MN BLUE PLUS DISP
85038PO MN BLUE CROSS/BLUE SHIELD MN
CG9827 MN PALMETTO GBA

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FAQs about Jerome D. Poland, M.D., Ltd

What is the Jerome D. Poland, M.D., Ltd's unique identification number?

The Jerome D. Poland, M.D., Ltd has been assigned the NPI (National Provider Identifier) Number 1366621534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Jerome D. Poland, M.D., Ltd is located?

The Jerome D. Poland, M.D., Ltd is situated at the following address: 200 Elm St N, Onamia, MN, 563597901.

What is Jerome D. Poland, M.D., Ltd's area of expertise and its corresponding taxonomy classification?

The Jerome D. Poland, M.D., Ltd's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

When was the Jerome D. Poland, M.D., Ltd's 1366621534 issued?

The Jerome D. Poland, M.D., Ltd's 1366621534 was issued on 2007-10-24.

When was the Jerome D. Poland, M.D., Ltd's information last updated?

The Jerome D. Poland, M.D., Ltd's information was last updated on 2008-04-04.

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