Individual
DR. ALAN SCOTT POLACKWICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
123851
OH
208800000X
Urology Physician
Primary
124501
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2008
Last updated
11/02/2021
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