Individual
JENNIFER POLNASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2116 CRAIG ROAD, EAU CLAIRE, WI 54701
(715) 858-4200
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
876
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42957500
—
WI
Enumeration date
10/25/2006
Last updated
07/08/2007
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