Individual
SUSAN H POLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 552-6731
(402) 552-6730
Mailing address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 552-6731
(402) 552-6730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
517
NE
Other
Enumeration date
05/11/2006
Last updated
12/22/2015
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