person
Dr. Polly A Lilleboe, MD
Emergency Medicine Physician in St Johns, Michigan
NPI 1225182454

Polly A Lilleboe is a Emergency Medicine Physician based in Eaton Rapids, MI. Polly A Lilleboe practices in St Johns, MI and has the professional credentials of MD. The NPI Number for Polly A Lilleboe is 1225182454 and holds a License No. 4301047563 (Michigan).

The current practice location address for Polly A Lilleboe is 805 Oakland Street, St Johns, MI and can be reached out via phone at 989-227-3400.

Location: 805 Oakland Street, St Johns, MI, 48827-1952
person
Provider Profile Details
NPI Number
1225182454
Provider Name
Polly A Lilleboe
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
805 Oakland Street, St Johns, MI, 48827-1952
Phone Number
989-227-3400
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
382168683 01 MI TAX ID
1728309 05 MI
institution
Provider Business Practice Location Address Details
Address
805 Oakland Street
City
State
Zip
48879
Phone Number
989-227-3400
Fax Number
person
Provider Business Mailing Address Details
Address
805 Oakland Street
City
State
Zip
48879
Phone Number
989-227-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
430104756 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
4301047563 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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