| Randy J. Plonka M.D. P.C. | |
|
5979 Lakeshore Rd Fort Gratiot MI 48059-2826 | |
| (810) 385-6370 | |
| (810) 385-6357 |
| Full Name | Randy J. Plonka M.D. P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5979 Lakeshore Rd, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Randy J Plonka (OWNER) |
| Authorized Official Contact | 8103856370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy J. Plonka M.D. P.C. 5979 Lakeshore Rd Fort Gratiot MI 48059-2826 | Randy J. Plonka M.D. P.C. 5979 Lakeshore Rd Fort Gratiot MI 48059-2826 Ph: (810) 385-6370 |
| NPI Number | 1053582023 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053582023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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