Gary David Poelman in Grand Rapids - Emergency Medical Services
Gary David Poelman - NPI 1336261395
Gary David Poelman is a Emergency Medical Services in Grand Rapids, Michigan. Gary David Poelman practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Gary David Poelman is 1336261395. The last update date is 2015-09-14.
Gary David Poelman's current location address is 3355 Eagle Park Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169427400. The mailing address for Gary David Poelman is 3355 Eagle Park Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary David Poelman |
|---|---|
| Address | 3355 Eagle Park Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6169427400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336261395 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2015-09-14 |
Provider Mailing Address Detail
| Address | 3355 Eagle Park Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495257004 |
| Phone Number | 6169427400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | GP043454 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107001012 | BCBS | ||
| 40099285 | AETNA | ||
| 152750 | PHCS | ||
| 117141PC | CCHMO,CCPPO,MERCY | ||
| B43739 | PRIORITY HEALTH |
Post Comment/ Review Below
What is the Gary David Poelman's unique identification number?
The Gary David Poelman has been assigned the NPI (National Provider Identifier) Number 1336261395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Gary David Poelman is geographically located?
The Gary David Poelman is physically situated at the following location: 3355 Eagle Park Dr Ne, Grand Rapids, MI, 495257004.
What is the area of specialization for Gary David Poelman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary David Poelman is Emergency Medical Services, and the corresponding taxonomy code that categorizes this area of expertise is 207Pe0004X.
On what date was the 1336261395 assigned to Gary David Poelman?
The Gary David Poelman was issued its 1336261395 on 2007-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Gary David Poelman's information last updated?
The Gary David Poelman's information was last updated on 2015-09-14.