DR. Mark-Allen Nison Polyakov, M.D.

NPI #1548556053 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1548556053
Entity Type: Individual
Name: DR. Mark-Allen Nison Polyakov, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: M.D.
Enumeration Date: Jun 22, 2011
Last Updated: Apr 18, 2019

Practice Location

Address: 430 E DIVISION ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-4560
Phone: (920) 929-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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