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Contact Information

RANDY J PLONKA, MD
5979 LAKESHORE
FORT GRATIOT TOWNSHIP, MI48059
 Phone: 810-385-6370
 Fax: 810-385-6357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RANDY J PLONKA · (Male)

NPI # 1013097278
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 03/19/2008 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 050787
  • MI Medicaid 4369770
Hospital affiliation(s)
  • PORT HURON HOSPITAL - (Acute Care)
    1221 PINE GROVE AVE
    PORT HURON, MI 48060
  • ST JOSEPH MERCY PORT HURON - (Acute Care)
    2601 ELECTRIC AVENUE
    PORT HURON, MI 48060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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