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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEX JOHN POLENICK, PA-C

Active

ALEX JOHN POLENICK, PA-C is a Medical Physician Assistant healthcare provider located in BOARDMAN, Ohio. NPI 1003397654 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BOARDMAN, OH

Registration Details

NPI Number
1003397654
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2018 (7.9541187192038 yrs)
Last Updated
Apr 17, 2024
License
50.005589RX (OH)

Practice Information

Address
1499 BOARDMAN CANFIELD RD
BOARDMAN, OH, 445124008
Browse OH providers · Browse ZIP 44512
Phone
3307580577
Fax
3305334587
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BOARDMAN, OH

Name Credential NPI
ANNE R ZAJAC PA C 1104804707
DR. GREGORY SCOTT DEW D.C., PA-C 1447277215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.