Individual
CRAIG ALVIN PLONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
19556 HARPER AVE, HARPER WOODS, MI 48225-2037
(313) 885-6491
Mailing address
8928 LOUISE ST, LIVONIA, MI 48150-4016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001171
MI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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