Provider Demographics
NPI:1649678475
Name:STEVEN T. PLOMARITIS, PLLC
Entity type:Organization
Organization Name:STEVEN T. PLOMARITIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:TITUS
Authorized Official - Last Name:PLOMARITIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-918-9540
Mailing Address - Street 1:28001 SCHOENHERR RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4396
Mailing Address - Country:US
Mailing Address - Phone:586-558-9500
Mailing Address - Fax:586-558-9501
Practice Address - Street 1:28001 SCHOENHERR RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4396
Practice Address - Country:US
Practice Address - Phone:586-558-9500
Practice Address - Fax:586-558-9501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008748207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty