Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 13494 | WI |
NPI | 1033215629 |
---|---|
Provider Name | Dr. Arthur Carl Plautz JR. |
First Address | Madison, WI 53718-3154 |
Second Address | Madison, WI 53718-3154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |