ANTHONY POLAZZO

GRAND RAPIDS, MI
NPI1801290309
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001008)
Enumeration Date2014-10-14
Last Update Date2018-03-27
Business Address
ANTHONY POLAZZO
2300 PLYMOUTH AVE SE
GRAND RAPIDS, MI 49506-5225
Phone number: 616-574-5828
Mailing Address
ANTHONY POLAZZO
628 BAYBERRY POINTE DR NW APT F
GRAND RAPIDS, MI 49534-4611
Phone number: