Individual provider · Type 1 NPI

Donovan C. Polack, MD

Nephrology Physician · Florissant, MO

NPI number 1659324465 Active

Practice location

1265 Graham Rd Ste 1
Florissant, MO 63031-8018

Fax (314) 741-1677

Other practice locations

  • 2044 Madison Ave Ste 15, Granite City, IL 62040-4641 · (314) 741-1600

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X036-072078 (IL)
Specialist 174400000XR5H69 (MO)
Nephrology Physician 207RN0300X036-072078 (IL)
Nephrology Physician Primary 207RN0300XR5H69 (MO)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5 other providers at this address

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About NPI 1659324465

Donovan C. Polack, MD's National Provider Identifier is 1659324465, issued on May 19, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Florissant, MO. The record was last updated on May 22, 2024.