Organization · NPI-2

Kim N Poludnianyk DO PC

Orthopaedic Surgery · Mount Clemens, MI

NPI number1447692819
StatusActive
Last updated in NPPESJul 25, 2013

Details

NPI
1447692819
Entity type
Organization (NPI-2)
Legal business name
Kim N Poludnianyk DO PC
Organization subpart
No
Enumeration date
Jul 25, 2013
Last updated
Jul 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes

Practice location

1030 Harrington St
Suite 303
Mount Clemens, MI 48043-2967

Phone 586-493-3890

Mailing address

Po Box 22958
Cleveland, OH 44122-0958

Phone 216-595-9600 · Fax 216-595-9601

Authorized official

Kim N Poludnianyk
Owner
5864933890

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