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Individual

RAYMOND J. POELSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1226
(937) 643-9299
(937) 643-2343
Mailing address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1226
(937) 643-9299
(937) 643-2343

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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