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Individual

MR. ELMER F PLANTZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NNP

Contact information

Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5572
Mailing address
1064 COUNTY ROUTE 22, PO BOX 435, ALTMAR, NY 13302-3303
(315) 298-7728

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350092-1
NY

Other

Enumeration date
03/29/2007
Last updated
07/08/2007
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