Clarissa Polen-De
Gynecologic Oncologist
200 1st St Sw
Rochester
, Minnesota 55905-0001
Clarissa Polen-De
Gynecologic Oncologist
200 1st St Sw
Rochester
, Minnesota 55905-0001
(507) 284-2511
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Clarissa Polen-De
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
Second Address
- Clarissa Polen-De
- 200 1st St Sw
- Rochester, MN
- Zip : 55905-0001
- Phone : (507) 284-2511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 65369 | MN |
National Provider Identifier
| NPI | 1427445816 |
|---|---|
| Provider Name | Clarissa Polen-De |
| First Address | Rochester, MN 55905-0001 |
| Second Address | Rochester, MN 55905-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2015 |
| Last Update Date | 29/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.