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Individual

RONALD PLUSZCZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0510
Mailing address
7 BOONE LN, DEARBORN, MI 48120-1011
(248) 231-0673

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
74443
MT
207V00000X
Obstetrics & Gynecology Physician
MD463673
PA
207V00000X
Obstetrics & Gynecology Physician
RP407341
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160009590
MEDICARE RAILROAD
MI
05
2696809
MI
Enumeration date
06/02/2005
Last updated
11/09/2023
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