Individual
AMY POLLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
21997 CLAY AVE, WARRENS, WI 54666-8545
(608) 387-9028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6760-33
WI
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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