Individual provider · Type 1 NPI
Theodore Z. Polley, MD
Pediatric Surgery Physician · Ypsilanti, MI
NPI number
1326140658
Active
Practice location
5301 East Huron River Dr
Ypsilanti, MI 48197-1051
Mailing address
3621 S State St, 700 Kms Place
Ann Arbor, MI 48108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 4301036361 (MI) |
| Surgical Critical Care Physician | 2086S0102X | 4301036361 (MI) |
| Pediatric Surgery Physician Primary | 2086S0120X | 4301036361 (MI) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
About NPI 1326140658
Theodore Z. Polley, MD's National Provider Identifier is 1326140658, issued on Sep 5, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Ypsilanti, MI. The record was last updated on Jul 2, 2012.