Dr Maynard Dillon Poland, MD is a
Internal Medicine physician based in Sister Bay, Wisconsin. Dr Maynard Dillon Poland is licensed to practice in Wisconsin (license number 16266-20) and his current practice location is 10648 Sister Bluff Dr # 3c, Sister Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 854-4650.
NPI number for Dr Maynard Dillon Poland is 1407177454 and his current mailing address is 10648 Sister Bluff Dr # 3c, Sister Bay, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407177454.
Physician's Profile
| Full Name | Dr Maynard Dillon Poland |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 10648 Sister Bluff Dr # 3c, Sister Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407177454
- Provider Enumeration Date: 06/14/2010
- Last Update Date: 06/14/2010
Medical Identifiers
Medical identifiers for Dr Maynard Dillon Poland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407177454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 16266-20 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maynard Dillon Poland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maynard Dillon Poland, MD
10648 Sister Bluff Dr # 3c,
Sister Bay, WI 54234-9081
Ph: (920) 854-4650 | Dr Maynard Dillon Poland, MD
10648 Sister Bluff Dr # 3c,
Sister Bay, WI 54234-9081
Ph: (920) 854-4650 |
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