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Individual
MICHAEL DWAIN PLOOSTER
Active
Individual
MICHAEL DWAIN PLOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300576249
—
IL
01
—
16007
DEAN HEALTH PLAN, INC
WI
01
—
1992787535
PHYSICIANS PLLUS
WI
05
—
30407900
—
WI
01
—
57010
WPS
WI
01
—
W005087
CHAMPUS
—
Enumeration date
11/18/2005
Last updated
12/16/2008
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