# POLEY SPORTS MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1255832382
- **Authorized official:** ROBERT EDWARD POLEY MD (MANAGING MEMBER)
- **Authorized official phone:** (586) 416-6260

## Contact information

- **Practice address:** 15959 HALL RD STE 405, MACOMB, MI 48044
- **Practice address phone:** (586) 416-6260
- **Mailing address:** 15959 HALL RD STE 405, MACOMB, MI 48044-5368
- **Mailing address phone:** (586) 416-6260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2018
- **Last updated:** 05/25/2018