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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKE POLEWSKI, PA

Active Sole Proprietor

MIKE POLEWSKI, PA is a Addiction Medicine (Internal Medicine) healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1336793264 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Internal Medicine) · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1336793264
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2019 (7.0665975068549 yrs)
Last Updated
Feb 24, 2024
Licenses
5601009538 (MI)
5601009538 (MI)
5601009538 (MI)
Sole Proprietor
Yes

Practice Information

Address
41800 HAYES RD STE 126
CLINTON TOWNSHIP, MI, 480381876
Browse MI providers · Browse ZIP 48038
Phone
5868437996
Primary Specialty
Addiction Medicine (Internal Medicine)
207RA0401X
Additional Specialty
Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.