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NPI Code Detail

MEDICARE: MR. STANLEY JOSEPH POLANSKI PA

MEDICARE: MR. STANLEY JOSEPH POLANSKI PA
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
1363A00000XPhysician Assistant100320NC

General Provider Information

NPI Number : 1629152285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY JOSEPH POLANSKI PA
Provider Business Mailing Address
First Line : 1045 LAKEY CREEK RD
Second Line :
City : FRANKLIN
State : NC
Zip : 28734-6022
Country : US
Telephone Number : 828-349-0201
Fax Number :
Provider Business Practice Location Address
First Line : 1830 LAKESIDE DR
Second Line :
City : FRANKLIN
State : NC
Zip : 28734-6778
Country : US
Telephone Number : 828-349-2081
Fax Number : 828-524-6154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ MR. STANLEY JOSEPH POLANSKI PA” Practice Location

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