Individual
JACK HARRY PLOEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1902 STAR-BATT DRIVE, ROCHESTER HILLS, MI 48309-4830
(248) 844-9650
Mailing address
1902 STAR BATT DR, ROCHESTER HILLS, MI 48309-3711
(248) 844-9650
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704301206
MI
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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