Individual
MICHAEL B PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 IVY FALLS AVE, MENDOTA HEIGHTS, MN 55118-1945
(651) 450-5951
Mailing address
607 IVY FALLS AVE, MENDOTA HEIGHTS, MN 55118-1945
(651) 450-5951
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029R0PL
BLUE CROSS
MN
01
—
1000214
PREFERRED ONE
MN
01
—
104198
UCARE
MN
01
—
23003
AMERICA'S PPO
MN
01
—
2M442PL
BLUE CROSS
MN
01
—
300085346
RAILROAD MEDICARE MN
MN
05
—
535563000
—
MN
01
—
HP14184
HEALTHPARTNERS
MN
Enumeration date
05/27/2006
Last updated
01/20/2022
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