Organization
ELIZABETH POLACHECK MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANNE POLACHECK MD (PHYSICIAN)
(414) 727-8199
Entity
Organization
Contact information
Practice address
3033 W LAYTON AVE STE 201, GREENFIELD, WI 53221-2621
(414) 727-8199
(888) 371-8009
Mailing address
3033 W LAYTON AVE STE 201, GREENFIELD, WI 53221-2621
(414) 727-8199
(888) 371-8009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32041800
—
WI
Enumeration date
05/15/2007
Last updated
03/12/2021
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