Most Relevant Information
Provider Data
| NPI Number: | 1003078007 |
| Provider Name: | MICHOLEE BETH POLSAK DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 05350404 |
Most Important Dates
| Enumeration Date: | 06/30/2008 |
| Last Updated: | 12/29/2014 |
Provider Practice Location
3901 RAINBOW BLVD, 6040 DELP, MS 1020
KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY
KS
66160
Practice Location Phone/Fax
| Phone: | 9135883974 |
| Fax: | 9135886055 |
Provider Mailing Location
3901 RAINBOW BLVD, 4070 DELP, MS 4017
KANSAS UNIVERSITY PHYSICIANS INC
KANSAS CITY
KS
66160
Provider Mailing Phone/Fax
| Phone: | 9135882500 |
| Fax: |
Suggested EMR
Internist EMR