Individual
ROBERT J POLACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 301-2066
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28524
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
28524
KY
208M00000X
Hospitalist Physician
28524
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000642753
ANTHEM BCBS PROVIDER #
KY
05
—
200194410
—
IN
05
—
2239554
—
OH
01
—
4198961
AETNA PROVIDER ID#
KY
05
—
64285240
—
KY
Enumeration date
05/31/2006
Last updated
08/31/2011
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