Search › Wisconsin › 207P00000X
Mark Polentini, MD
NPI 1699752030 · on the registry since 2005
Practice
- Address
- 1284 N Summit Ave
Oconomowoc, WI 53066 - Phone
- (262) 569-3080
- Clinicians at this address
- 17
Additional practice sites
- 2900 W Oklahoma, Milwaukee, WI
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin