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
Fax: (608) 356-6047
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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