# ELIZABETH POLACHECK MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225244668
- **Authorized official:** ELIZABETH ANNE POLACHECK MD (PHYSICIAN)
- **Authorized official phone:** (414) 727-8199

## Contact information

- **Practice address:** 3033 W LAYTON AVE STE 201, GREENFIELD, WI 53221-2621
- **Practice address phone:** (414) 727-8199
- **Practice address fax:** (888) 371-8009
- **Mailing address:** 3033 W LAYTON AVE STE 201, GREENFIELD, WI 53221-2621
- **Mailing address phone:** (414) 727-8199
- **Mailing address fax:** (888) 371-8009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 03/12/2021