Poelman, Gary David
Poelman, Gary David is an individual health care provider with primary practice located at 3355 Eagle Park Dr Ne Ste103, Grand Rapids MI 49525-7004. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Poelman, Gary David can be contacted via phone (616) 942-7400.Contact Information
Primary practice address
3355 Eagle Park Dr Ne Ste103
Grand Rapids MI 49525-7004
Phone: (616) 942-7400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | GP043454 | Michigan |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | GP043454 | Michigan |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | GP043454 | Michigan |
Profile Details
NPI number | 1336261395 |
---|---|
LBN Legal business name | Poelman, Gary David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2007 |
Last updated | Sep 14th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336261395 | NPPES |
Other | 0107001012 | BCBS | |
Other | 40099285 | BCBS | |
Other | 152750 | BCBS | |
Other | 117141PC | BCBS | |
Other | B43739 | BCBS |
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