Individual
ANTHONY POLAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 PLYMOUTH AVE SE, GRAND RAPIDS, MI 49506-5225
(616) 574-5828
Mailing address
628 BAYBERRY POINTE DR NW APT F, GRAND RAPIDS, MI 49534-4611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001008
MI
Other
Enumeration date
10/14/2014
Last updated
03/27/2018
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