Provider Demographics
NPI:1487676441
Name:PLAUTZ, MARK W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:PLAUTZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 E LINWOOD BLVD
Mailing Address - Street 2:VA MEDICAL SERVICE (111)
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64128-2226
Mailing Address - Country:US
Mailing Address - Phone:816-922-2101
Mailing Address - Fax:816-922-3323
Practice Address - Street 1:4801 E LINWOOD BLVD
Practice Address - Street 2:VA MEDICAL SERVICE (111)
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-2226
Practice Address - Country:US
Practice Address - Phone:816-922-2101
Practice Address - Fax:816-922-3323
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MO2001026583207RC0200X, 207RP1001X
KS04-25729207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease