Individual
RAYMOND J. POELSTRA
Active
Individual
RAYMOND J. POELSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35-054562
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019621
ANTHEM
OH
01
—
06-20069
UNITED HEALTHCARE
OH
05
—
0641158
—
OH
Enumeration date
06/27/2006
Last updated
01/05/2021
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