Individual
DR. JOHN WILLIAM POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5085 ANNA DR STE A, TRAVERSE CITY, MI 49684-7475
(231) 935-0180
(231) 935-0099
Mailing address
5085 ANNA DR STE A, TRAVERSE CITY, MI 49684-7475
(231) 935-0180
(231) 935-0099
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301403808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079739
—
IL
01
—
0B80405
BCBSMI
MI
01
—
21623004
BCBS PROVIDER #
IL
Enumeration date
11/10/2005
Last updated
03/07/2023
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