Individual
DR. MARK D PLUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 S 90TH ST, WEST ALLIS, WI 53227-2455
(414) 328-8150
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
30916
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31587600
—
WI
Enumeration date
02/07/2006
Last updated
07/06/2025
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