Individual
DR. BROCK E. POLNASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(401) 805-6624
(414) 805-9000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(401) 805-6624
(414) 805-9000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
84385-20
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
84385-20
WI
207VM0101X
Maternal & Fetal Medicine Physician
MD17459
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285163451
—
WI
Enumeration date
06/09/2017
Last updated
04/29/2025
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