Individual
ERIC POLOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 W BRADLEY AVE, PEORIA, IL 61625-0001
(920) 655-2318
Mailing address
1480 BRUCE LN, GREEN BAY, WI 54313-5647
(920) 655-2318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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