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Organization
POLEY SPORTS MEDICINE, PLLC
Active
Organization
POLEY SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EDWARD POLEY MD (MANAGING MEMBER)
(586) 416-6260
Entity
Organization
Contact information
Practice address
15959 HALL RD STE 405, MACOMB, MI 48044
(586) 416-6260
Mailing address
15959 HALL RD STE 405, MACOMB, MI 48044-5368
(586) 416-6260
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
05/25/2018
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