Individual
MR. NATHAN W POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1373 E STATE ROAD 62 STE 2A, MADISON, IN 47250-7328
(812) 801-0848
(812) 801-0773
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01081100A
IN
207X00000X
Orthopaedic Surgery Physician
49607
KY
207X00000X
Orthopaedic Surgery Physician
TP300
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201393180
—
IN
05
—
7100211870
—
KY
Enumeration date
04/05/2011
Last updated
10/09/2025
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