Provider Demographics
NPI:1932366945
Name:PLUNDO, MICHAEL NICHOLAS (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:NICHOLAS
Last Name:PLUNDO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:518 PELLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4678
Mailing Address - Country:US
Mailing Address - Phone:724-832-2570
Mailing Address - Fax:724-832-2521
Practice Address - Street 1:518 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4678
Practice Address - Country:US
Practice Address - Phone:724-832-2570
Practice Address - Fax:724-832-2521
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine