Most Relevant Information
Provider Data
| NPI Number: | 1003376773 |
| Provider Name: | NINA POLINI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2019 |
| Last Updated: | 03/20/2019 |
Provider Practice Location
4201 SAINT ANTOINE ST STE 4B
DETROIT
MI
482012153
Practice Location Phone/Fax
| Phone: | 3137454887 |
| Fax: |
Provider Mailing Location
1511 1ST ST APT 1112
DETROIT
MI
482261360
Provider Mailing Phone/Fax
| Phone: | 7865211875 |
| Fax: |