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Individual

SANDRA J PLAUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
405 GENESEE ST, DELAFIELD, WI 53018-1814
(262) 646-4727
(262) 646-4729
Mailing address
405 GENESEE ST, DELAFIELD, WI 53018-1814
(262) 646-4727
(262) 646-4729

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11109-146
WI

Other

Enumeration date
02/01/2012
Last updated
02/01/2012
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