Pollak, Mitchell Z

Pollak, Mitchell Z is an individual health care provider with primary practice located at 22250 Providence Dr Suite 401, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pollak, Mitchell Z can be contacted via phone (866) 974-2673.

Contact Information

Primary practice address
22250 Providence Dr Suite 401 Southfield MI 48075-4825
Fax: (866) 939-2673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MP029449 Michigan

Profile Details

NPI number 1811985450
LBN Legal business name Pollak, Mitchell Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jan 17th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811985450 NPPES
Michigan MEDICAID 2103811

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