MEDICARE: DONALD B POLANSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	14094	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548295462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD B POLANSKY MD

Provider Business Mailing Address
First Line	:	1830 S ALMA SCHOOL RD
Second Line	:	STE 108
City	:	MESA
State	:	AZ
Zip	:	85210-3086
Country	:	US
Telephone Number	:	480-248-3000
Fax Number	:	480-248-3050

Provider Business Practice Location Address
First Line	:	1830 S ALMA SCHOOL RD
Second Line	:	SUITE 108
City	:	MESA
State	:	AZ
Zip	:	85210-3056
Country	:	US
Telephone Number	:	480-248-3000
Fax Number	:	480-248-3050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/27/2016

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Directions to “ DONALD B POLANSKY MD” Practice Location

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