Individual
MICHAEL GARRETT POLASCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
700 PELHAM RD N, JACKSONVILLE, AL 36265-1602
(256) 782-5369
Mailing address
700 PELHAM RD N, JACKSONVILLE, AL 36265-1602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2072
AL
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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