Individual
DEREK O PLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
193884
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
202208560CRNA-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659834554
—
WI
Enumeration date
04/09/2019
Last updated
05/11/2026
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