Individual
DR. MICHAEL SCOTT PLISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FCCP
Contact information
Practice address
621 S NEW BALLAS RD, STE 4006B, SAINT LOUIS, MO 63141-8232
(314) 251-6486
Mailing address
621 S NEW BALLAS RD, STE 4006B, SAINT LOUIS, MO 63141-8232
(314) 251-6486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003003401
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2003003401
MO
207RP1001X
Pulmonary Disease Physician
2003003401
MO
Other
Enumeration date
06/07/2006
Last updated
08/15/2008
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