Individual
MICHAEL ERVIN POLAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 E MOHAWK LN STE 128, PHOENIX, AZ 85050-4637
(602) 252-1299
Mailing address
2909 E FOX ST, MESA, AZ 85213-5443
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I027021
AZ
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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