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Individual

SAUL S POLSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
174 MARINERS WAY, MOYOCK, NC 27958-9049
(330) 730-7473
Mailing address
174 MARINERS WAY, MOYOCK, NC 27958-9049
(330) 730-7473

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35044278
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000360690
BCBS LUCAS COUNTY
01
000000377165
ANTHEM
OH
05
0451023
OH
05
104734159
MI
05
104808637
MI
01
P00224439
RR LUCAS COUNTY
01
P00267939
IND RR MEDICARE# STCHRL
OH
Enumeration date
04/11/2006
Last updated
10/08/2014
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