Provider Demographics
NPI:1962996488
Name:POLCARI, ANN MARIE (MD, MPH, MS)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:POLCARI
Suffix:
Gender:F
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E MEDICAL CENTER DR
Mailing Address - Street 2:1C340 TRAUMA BURN, SPC 5033
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5033
Mailing Address - Country:US
Mailing Address - Phone:734-936-5738
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DR, SPC 5033
Practice Address - Street 2:TAUBMAN CENTER, FLOOR 2, RECEPTION C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5033
Practice Address - Country:US
Practice Address - Phone:734-936-5738
Practice Address - Fax:734-936-5830
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.072297208600000X
IL036.158360208600000X
MI5315254725390200000X
MI4351053780390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208600000XAllopathic & Osteopathic PhysiciansSurgery