Jerome D. Poland, M.d., Ltd

NPI #1366621534 in Onamia, Minnesota

Provider Information

NPI Number: 1366621534
Entity Type: Organization
Organization Name: Jerome D. Poland, M.d., Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: JEROME D. POLAND, M.D., LTD
Primary Specialty: Specialist
Enumeration Date: Oct 24, 2007
Last Updated: Apr 4, 2008

Practice Location

Address: 200 ELM ST N
City: Onamia
State: Minnesota
ZIP Code: 56359-7901
Phone: (320) 532-3154

Authorized Official

Name: KARIN M COOK
Title: OFFICE MANAGER
Phone: (218) 546-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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