Dr. Maxim Alexandrovich Polansky
MOHS-Micrographic Surgeon
1000 N Oak Ave
Marshfield
, Wisconsin 54449-5703
Dr. Maxim Alexandrovich Polansky
MOHS-Micrographic Surgeon
1000 N Oak Ave
Marshfield
, Wisconsin 54449-5703
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Maxim Alexandrovich Polansky
- 20 York St Yale-New Haven Hospital
- New Haven, CT
- Zip : 06510-3220
- Phone :
Second Address
- Dr. Maxim Alexandrovich Polansky
- 1000 N Oak Ave
- Marshfield, WI
- Zip : 54449-5703
- Phone : (715) 387-5511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 73235 | WI |
National Provider Identifier
| NPI | 1275913006 |
|---|---|
| Provider Name | Dr. Maxim Alexandrovich Polansky |
| First Address | New Haven, CT 06510-3220 |
| Second Address | Marshfield, WI 54449-5703 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2015 |
| Last Update Date | 31/03/2021 |
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.