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Individual

DR. L. ROBERT POLSTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6495 E BROAD ST, SUITE A, COLUMBUS, OH 43213-1541
(614) 866-8077
(614) 866-9752
Mailing address
6495 E BROAD ST, SUITE A, COLUMBUS, OH 43213-1541
(614) 866-8077
(614) 866-9752

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35031032
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0218277
OH
Enumeration date
04/03/2006
Last updated
07/08/2007
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