Provider Demographics
NPI:1821316704
Name:POLIS, MICHAEL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALAN
Last Name:POLIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6700B ROCKLEDGE DRIVE
Mailing Address - Street 2:ROOM 1118
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-7609
Mailing Address - Country:US
Mailing Address - Phone:301-496-8027
Mailing Address - Fax:301-435-6739
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:OP8 CLINIC, ROOM 8C402
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-435-7743
Practice Address - Fax:301-402-1137
Is Sole Proprietor?:No
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
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Provider Licenses
StateLicense IDTaxonomies
MDD0028336207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease