IndividualActive
Theodore Polley, MD
NPI 1326140658 · Pediatric Surgery Physician · Ypsilanti, MI
Provider details
- NPI number
- 1326140658
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301036361 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5301 East Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-2441
Approximate (ZIP-level) locationGet directions
Mailing address
3621 S State St
Ann Arbor, MI 48108
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2012-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.