Individual
DR. ANNE FRANCES POLASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-0119
(417) 466-0126
Mailing address
512 E DENTON CIR, REPUBLIC, MO 65738-1368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2371
OK
Other
Enumeration date
07/25/2006
Last updated
07/17/2007
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