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Polina Simone Niedle, MD
Student in an Organized Health Care Education/Training Program in Santa Clara, California
NPI 1497012058

Polina Simone Niedle is a Student in an Organized Health Care Education/Training Program based in Santa Clara, CA. Polina Simone Niedle practices in Santa Clara, CA and has the professional credentials of MD. The NPI Number for Polina Simone Niedle is 1497012058 and holds a License No. (California).

The current practice location address for Polina Simone Niedle is 710 Lawrence Expy, Santa Clara, CA and can be reached out via phone at 408-619-6384.

Location: 710 Lawrence Expy, Santa Clara, CA, 95051-5173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497012058
Provider Name
Polina Simone Niedle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
710 Lawrence Expy, Santa Clara, CA, 95051-5173
Phone Number
408-619-6384
Fax Number
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 Lawrence Expy
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-619-6384
Fax Number
person
Provider Business Mailing Address Details
Address
710 Lawrence Expy
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-619-6384
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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