# MICHAEL DWAIN PLOOSTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992787535
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 24021 | WI | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 12/16/2008

## 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 | — |