Provider Demographics
NPI:1275834665
Name:POZNALSKA, MARGARET MARIA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MARIA
Last Name:POZNALSKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 RACEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:GATES MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44040-1960
Mailing Address - Country:US
Mailing Address - Phone:330-397-3827
Mailing Address - Fax:
Practice Address - Street 1:1055 VALLEY BLUFF DR
Practice Address - Street 2:APT #3
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2877
Practice Address - Country:US
Practice Address - Phone:330-397-3827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-16
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101027286207P00000X
OH34.010428207P00000X
MS22816207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine