Individual
DR. MICHAEL P POLSINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6501 WILSON MILLS RD STE B, MAYFIELD VILLAGE, OH 44143-3442
(440) 461-9774
(440) 943-6716
Mailing address
6501 WILSON MILLS RD STE B, MAYFIELD VILLAGE, OH 44143-3442
(440) 461-9774
(440) 943-6716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3327
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361033
ANTHEM AND BLUE CROSS
OH
01
—
043727404-00
WORKERS COMP
OH
01
—
H674461
MEDICARE - PTAN
OH
Enumeration date
04/03/2007
Last updated
01/11/2024
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