Organization
YOURENCORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMERY CHARLES POLASEK JR. M.D. (CLINICAL RESEARCH PHYSICIAN)
(269) 204-6316
Entity
Organization
Contact information
Practice address
308 HYDER CIRCLE DR, PLAINWELL, MI 49080-9587
(269) 204-6316
Mailing address
308 HYDER CIRCLE DR, PLAINWELL, MI 49080-9587
(269) 204-6316
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301035231
MI
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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