Individual
IRWIN PLISCO
Active
Individual
IRWIN PLISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24734
IA
207R00000X
Internal Medicine Physician
Primary
R8E05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010029
ESSENCE
MO
01
—
000000012461
ESSENCE ST CHARLES
MO
01
—
0400525
UHC
MO
01
—
102101
HEALTHLINK
MO
01
—
127484
GHP
MO
01
—
2267138
AETNA US
MO
01
—
4040631
AETNA
MO
01
—
6400
BCBS
MO
01
—
A10442
MERCY
MO
01
—
C04130
EXCLUSIVE CHOICE
MO
Enumeration date
11/09/2005
Last updated
12/08/2011
Update your record
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