Individual
MR. MICHAEL R PLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC, OCS
Contact information
Practice address
6330 E. 75TH ST., SUITE 116, INDIANAPOLIS, IN 46250-2717
(317) 577-9338
(317) 577-0422
Mailing address
6330 E. 75TH ST., SUITE 116, INDIANAPOLIS, IN 46250-2717
(317) 577-9338
(317) 577-0422
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05002978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175262
ANTHEM
IN
Enumeration date
10/04/2006
Last updated
07/08/2007
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