Individual
JOHN D POLANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 683-3744
(541) 683-6672
Mailing address
2460 WILLAMETTE ST, EUGENE, OR 97405-3169
(541) 683-3744
(541) 683-6672
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
09541
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000BHFRC
MEDICARE LEGACY NO.
OR
01
—
009139000
REGENCE BLUE CROSS
OR
05
—
161042
—
OR
01
—
180031534
RAILROAD MEDICARE PTAN
—
Enumeration date
07/07/2005
Last updated
03/15/2011
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