Gary David Poelman in Grand Rapids - Geriatric Medicine

Gary David Poelman - NPI 1336261395

Gary David Poelman is a Geriatric Medicine in Grand Rapids, Michigan. Gary David Poelman practices all healthcare services and medical treatments related to Geriatric Medicine. 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 Geriatric Medicine
Taxonomy 207Qg0300X
Licence No GP043454
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

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

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FAQs about Gary David Poelman

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 Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qg0300X.

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.

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