MR. Jordan Micah Fernandez Polistico, M.D. is a student in an organized health care education training program in Detroit, MI. The provider is 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. MR. Jordan Micah Fernandez Polistico, M.D. NPI is 1497273502. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3990 JOHN R ST
DETROIT, MI
ZIP 48201-018
Phone: (313) 745-5146
The enumeration date for this NPI number is 9/8/2017 and was last updated on 11/18/2021.