Individual
DR. DENIS J PLEVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 MADISON ST, NEW HOLSTEIN, WI 53061-1055
(920) 898-4262
Mailing address
2020 MADISON ST, NEW HOLSTEIN, WI 53061-1055
(920) 898-4262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22908020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30335200
—
WI
01
—
391420145
BC
—
Enumeration date
09/13/2005
Last updated
09/07/2012
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