Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 35126802 | OH |
Y | 207VG0400X | Gynecologist | 35126802 | OH |
NPI | 1477796993 |
---|---|
Provider Name | Jill Pluciniczak |
First Address | Dublin, OH 43017-0727 |
Second Address | Dublin, OH 43016-8518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 23/12/2021 |