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Individual

WAYNE PLOOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
717 SAINT FRANCIS ST, RAPID CITY, SD 57701-4677
(605) 342-2880
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7273
SD

Other

Enumeration date
09/04/2007
Last updated
12/15/2014
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