NPI 1407676455

Alicia Polak, CGC

Practitioner Genetic Counselor (M.S.) Waukesha, WI

Practice location

Address: N16w24131 Riverwood Dr, Waukesha, WI 53188-1106
Phone: (262) 696-5613
Fax: (262) 696-5682

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence 153261 (WI)

Other Genetic Counselor, MS providers in Wisconsin →

Registry record

NPI: 1407676455
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2024
Record last updated: 15 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.