Individual
DR. GREGORY GERALD POLKOWSKI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD42220
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD42220
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD42220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048813
CT LICENSE
CT
05
—
1255488128
—
CT
Enumeration date
01/04/2007
Last updated
01/17/2024
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