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Individual

ALEX JOHN POLENICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1499 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4008
(330) 758-0577
(330) 533-4587
Mailing address
8591 CROSSROADS DRIVE, YOUNGSTOWN, OH 44514
(330) 758-0577
(330) 758-0466

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005589RX
OH

Other

Enumeration date
08/22/2018
Last updated
04/17/2024
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