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Individual

EMMA M POLZIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
250248
WI
363L00000X
Nurse Practitioner
15053
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15053
WI

Other

Enumeration date
11/13/2019
Last updated
11/06/2025
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