Individual
DR. JACQUELINE F POLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3221 STEIN BLVD, EAU CLAIRE, WI 54701-6930
(715) 834-2788
(715) 834-2845
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28795
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31488200
—
WI
Enumeration date
08/21/2006
Last updated
02/09/2022
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