Individual
DR. STEWART MICHAEL POLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 MEDICAL PARK RD, SUITE 301, MOORESVILLE, NC 28117-8578
(704) 660-3322
(704) 660-3330
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200200586
NC
208800000X
Urology Physician
Primary
200200586
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131Y3
BCBS
NC
Enumeration date
12/15/2005
Last updated
05/27/2021
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