Provider Demographics
NPI:1669662755
Name:PLOESSER, MARKUS (MD)
Entity Type:Individual
Prefix:
First Name:MARKUS
Middle Name:
Last Name:PLOESSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 CROWN POINT DRIVE
Mailing Address - Street 2:UNITY
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109
Mailing Address - Country:US
Mailing Address - Phone:415-699-2418
Mailing Address - Fax:
Practice Address - Street 1:CDCR 765 THIRD AVENUE
Practice Address - Street 2:STE 300
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910
Practice Address - Country:US
Practice Address - Phone:619-476-3700
Practice Address - Fax:619-409-4362
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0000000002084P0800X
CAA1015642084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry