DR. Marcelo Granado Polanco, MD

NPI #1982789194 in Church Point, Louisiana

Provider Information

NPI Number: 1982789194
Entity Type: Individual
Name: DR. Marcelo Granado Polanco, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 26, 2006
Last Updated: Jun 7, 2011

Practice Location

Address: 731 S MAIN ST STE A
City: Church Point
State: Louisiana
ZIP Code: 70525
Phone: (337) 684-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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