Individual
DR. ERIK POLDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 NEEDMORE RD STE 300, DAYTON, OH 45414-3980
(937) 276-4274
(937) 277-8476
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(372) 239-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.139384
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413959
—
OH
Enumeration date
04/03/2015
Last updated
06/16/2022
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