IRYNA VITALIYIVNA POLYAKOVA

CROWN POINT, IN
NPI1447633326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IN  02006069A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  OS15044)
207Q00000X Family Medicine
(Licence: IN  02006069A)
Enumeration Date2015-07-09
Last Update Date2023-10-16
Business Address
Dr. IRYNA VITALIYIVNA POLYAKOVA D.O.
1201 S MAIN ST
CROWN POINT, IN 46307-8481
Phone number: 219-738-2100
Mailing Address
Dr. IRYNA VITALIYIVNA POLYAKOVA D.O.
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800