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Contact Information

CLARISSA POLEN DE, MD
200 1ST ST SW
ROCHESTER, MN55905-0001
 Phone: 507-284-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CLARISSA POLEN DE · (Female)

NPI # 1427445816
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2015
Last updated 11/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 65369
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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