Individual
DR. MARC A POLACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 JORDAN ST, NORTH LIBERTY, IA 52317-8089
(319) 569-3444
Mailing address
1750 JORDAN ST, NORTH LIBERTY, IA 52317-8089
(319) 569-3444
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD-49974
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
49974
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD-49974
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2014
Last updated
03/19/2026
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