NPI 1083702070

Michael F Polise, DO

Practitioner Diagnostic Radiology Physician Dover, DE

Practice location

Address: 640 S State Street Dept of Radiology, Dover, DE 19901-3530
Phone: (302) 674-2202
Mailing address: 10850 W. Park Place Suite 1100, Milwaukee, WI 53224-3606

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence C2-0005715 (DE)

Other Radiology providers in Delaware →

Registry record

NPI: 1083702070
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2006
Record last updated: 23 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.