Individual
TRACY POLAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 ARCH ST, STE 2H, AKRON, OH 44304-1423
(330) 375-4100
Mailing address
PO BOX 26010, AKRON, OH 44319-6010
(888) 328-4534
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN25262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2569860
—
OH
01
—
34145806900
OHIO WORKER COMPENSATION
OH
Enumeration date
03/04/2006
Last updated
07/08/2007
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