Organization
MICHAEL D PLOOSTER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DWAIN PLOOSTER MD (PRESIDENT /TREASURER)
(608) 356-3942
Entity
Organization
Contact information
Practice address
635 15TH ST, BARABOO, WI 53913-1502
(608) 356-3942
(608) 356-6047
Mailing address
635 15TH ST, BARABOO, WI 53913-1502
(608) 356-3942
(608) 356-6047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41751000
—
WI
Enumeration date
11/15/2005
Last updated
12/16/2008
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