BROCK POLNASZEK

PROVIDENCE, RI
NPI1285163451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: RI  MD17459)
Additional Taxonomies207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: RI  MD17459)
207V00000X Obstetrics & Gynecology
(Licence: MO  2017018502)
Enumeration Date2017-06-09
Last Update Date2023-07-31
Business Address
BROCK POLNASZEK
101 DUDLEY ST
PROVIDENCE, RI 02905-2401
Phone number: 401-274-1122
Mailing Address
BROCK POLNASZEK
660 SOUTH EUCLID AVENUE DEPARTMENT OF OBGYN, BOX 8064
SAINT LOUIS, MO 63110
Phone number: