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Individual

KATY POLASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7442 FRANK AVE NW, NORTH CANTON, OH 44720-7022
(330) 305-0838
(330) 491-2048
Mailing address
7442 FRANK AVE NW, NORTH CANTON, OH 44720-7022
(330) 305-0838
(330) 491-2048

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003901
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099716
OH
Enumeration date
02/14/2014
Last updated
01/24/2020
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