Individual provider · Type 1 NPI

Stephen Kenneth Polacek Jr.

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1346093218 Active

Practice location

One Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 716-3861

Mailing address

9121 Valley Brook Ct
Waxhaw, NC 28173-7593

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346093218

Stephen Kenneth Polacek Jr.'s National Provider Identifier is 1346093218, issued on Apr 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 9, 2024.