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NPI Code Detail

MEDICARE: KELLY POLZIN

MEDICARE: KELLY POLZIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6852093912MI

General Provider Information

NPI Number : 1205766573
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY POLZIN
Provider Business Mailing Address
First Line : 703 N 2ND AVE
Second Line :
City : IRON RIVER
State : MI
Zip : 49935-1451
Country : US
Telephone Number : 906-774-0522
Fax Number :
Provider Business Practice Location Address
First Line : 703 N 2ND AVE
Second Line :
City : IRON RIVER
State : MI
Zip : 49935-1451
Country : US
Telephone Number : 906-774-0522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ KELLY POLZIN ” Practice Location

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