IndividualActive
Jordan Micah Polistico, M.D.
NPI 1497273502 · Infectious Disease Physician · Huntsville, AL
Provider details
- NPI number
- 1497273502
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Practice location
1102 Monroe St Sw
Huntsville, AL 35801-5029
Phone: (256) 469-7200
Fax: (256) 469-7201
Mailing address
901 Mcclintock Dr Ste 202
Burr Ridge, IL 60527-0872
Registry dates
- Enumerated
- 2017-09-08
- Last updated
- 2023-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.