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Individual

SANDRA ANN POLACHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
PO BOX 1459, MINNEAPOLIS, MN 55440-1459
(800) 328-5979
Mailing address
4413 APPLETREE CT, SAINT JOSEPH, MO 64506-3697
(816) 390-3273

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2005011210
MO
363LF0000X
Family Nurse Practitioner
Primary
2011008776
MO

Other

Enumeration date
03/30/2011
Last updated
04/04/2025
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