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Individual
MR. MICHAEL ANDREW POLASCIK
Active
Individual
MR. MICHAEL ANDREW POLASCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158408A
—
GA
Enumeration date
07/25/2006
Last updated
09/25/2019
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