Individual
VICKY M. PLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N9129 JUST RD, WAUSAUKEE, WI 54177-9037
(715) 938-0303
Mailing address
N9129 JUST RD, WAUSAUKEE, WI 54177-9037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115882
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35040600
—
WI
Enumeration date
11/12/2007
Last updated
11/12/2007
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