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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336261395 NPPES
Other 0107001012 BCBS
Other 40099285 BCBS
Other 152750 BCBS
Other 117141PC BCBS
Other B43739 BCBS

Popular Providers