DR. Maynard Dillon Poland, M.D.

NPI #1407177454 in Sister Bay, Wisconsin

Provider Information

NPI Number: 1407177454
Entity Type: Individual
Name: DR. Maynard Dillon Poland, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 14, 2010
Last Updated: Jun 14, 2010

Practice Location

Address: 10648 SISTER BLUFF DR # 3C
City: Sister Bay
State: Wisconsin
ZIP Code: 54234-9081
Phone: (920) 854-4650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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