Provider Demographics
NPI:1689835209
Name:POLAN, MICHELLE BARBARA (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:BARBARA
Last Name:POLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:BARBARA
Other - Last Name:SWIRSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13601 W MEMORIAL PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8355
Mailing Address - Country:US
Mailing Address - Phone:405-862-7850
Mailing Address - Fax:844-682-1330
Practice Address - Street 1:13601 W MEMORIAL PARK DR STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8355
Practice Address - Country:US
Practice Address - Phone:405-862-7850
Practice Address - Fax:844-682-1330
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32639207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)