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Dr. Edward Phillips Polack, MD
Plastic and Reconstructive Surgery Physician in Wheeling, West Virginia
NPI 1811982671

Edward Phillips Polack is a Plastic and Reconstructive Surgery Physician based in Wheeling, WV and is specialized in Plastic and Reconstructive Surgery. Edward Phillips Polack practices in Wheeling, WV and has the professional credentials of MD. The NPI Number for Edward Phillips Polack is 1811982671 and holds a License No. 35047399 (West Virginia).

The current practice location address for Edward Phillips Polack is 1 Medical Park, Wheeling, WV and can be reached out via phone at 304-243-3134 and via fax at 304-243-3834.

Location: 1 Medical Park, Wheeling, WV, 26003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811982671
Provider Name
Edward Phillips Polack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Park, Wheeling, WV, 26003
Phone Number
304-243-3134
Fax Number
304-243-3834
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0114270000 05 WV
11955 01 HMO
0415214 05 OH
institution
Provider Business Practice Location Address Details
Address
1 Medical Park
City
Wheeling
State
West Virginia
Zip
26003
Phone Number
304-243-3134
Fax Number
304-243-3834
person
Provider Business Mailing Address Details
Address
1 Medical Park
City
Wheeling
State
West Virginia
Zip
26003
Phone Number
304-243-3134
Fax Number
304-243-3834
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
11955 (West Virginia)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
35047399 (Ohio)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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