Plooster, Michael Dwain
Plooster, Michael Dwain is an individual health care provider with primary practice located at 635 15Th St , Baraboo WI 53913-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Plooster, Michael Dwain can be contacted via phone (608) 356-3942.Contact Information
Primary practice address
635 15Th St
Baraboo WI 53913-1502
Phone: (608) 356-3942
Fax: (608) 356-6047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24021 | Wisconsin |
Profile Details
| NPI number | 1992787535 |
|---|---|
| LBN Legal business name | Plooster, Michael Dwain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Dec 16th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992787535 | NPPES |
| Wisconsin | MEDICAID | 30407900 | |
| Wisconsin | Other | W005087 | |
| Wisconsin | Other | 57010 | |
| Wisconsin | MEDICAID | 0300576249 | |
| Wisconsin | Other | 16007 | |
| Wisconsin | Other | 1992787535 |
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