Individual provider · Type 1 NPI

Edward Phillips Polack, MD

Plastic and Reconstructive Surgery Physician · Wheeling, WV

NPI number 1811982671 Active

Practice location

1 Medical Park, Suite 704
Wheeling, WV 26003

Fax (304) 243-3834

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Surgery) Physician 2086S0105X35047399 (OH)
Surgery of the Hand (Surgery) Physician 2086S0105X11955 (WV)
Plastic and Reconstructive Surgery Physician 2086S0122X35047399 (OH)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X11955 (WV)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1811982671

Edward Phillips Polack, MD's National Provider Identifier is 1811982671, issued on Sep 16, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Wheeling, WV. The record was last updated on Jun 3, 2020.