Individual
MICHAEL LEON POLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16101 EVANS ST, OMAHA, NE 68116
(402) 717-9797
Mailing address
13807 TREGARON DR, BELLEVUE, NE 68123-4751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
093064
IA
363A00000X
Physician Assistant
Primary
739
NE
363AM0700X
Medical Physician Assistant
PA02151
TX
Other
Enumeration date
07/26/2006
Last updated
08/14/2018
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