Provider Demographics
NPI:1508852609
Name:POLZIN, GREGG B (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:B
Last Name:POLZIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7147 VISTA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-9313
Mailing Address - Country:US
Mailing Address - Phone:515-875-9925
Mailing Address - Fax:515-875-9923
Practice Address - Street 1:1221 PLEASANT ST
Practice Address - Street 2:STE 400
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309
Practice Address - Country:US
Practice Address - Phone:515-875-9290
Practice Address - Fax:515-241-4162
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2021-08-17
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Provider Licenses
StateLicense IDTaxonomies
IAMD-25119207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAE28080Medicare UPIN