Thomas M Polovitz, MD Valid NPI
Individual provider · Family Medicine Physician · Brainerd, MN
- NPI
- 1871685206
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 4117 (ND)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-30
- Last updated
- 2009-12-28
Practice location
722 Nw 7th St
Brainerd, MN 56401-2912
(218) 855-1115