Individual
DR. JOHN D POLOUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-3500
(330) 543-5001
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-3500
(330) 543-5001
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
35.139315
OH
208600000X
Surgery Physician
Primary
35.139315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353969401
—
TX
05
—
353969403
—
TX
Enumeration date
08/21/2006
Last updated
03/18/2021
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