Individual
PETER N/A PLUSCHT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 SPRINGHILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
(251) 476-7254
Mailing address
1855 SPRINGHILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
(251) 476-7254
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
00013845
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023467
—
AL
01
—
510-51961
BLUE CROSS BLUE SHIELD
AL
01
—
510-51962
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/13/2005
Last updated
05/25/2016
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