Healthcare Provider Details

I. General information

NPI: 1962334268
Provider Name (Legal Business Name): MICHELLE N PLONTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 WOODWARD AVE LOWR LEVEL
KINGSFORD MI
49802-4434
US

IV. Provider business mailing address

1075 WOODWARD AVE LOWR LEVEL
KINGSFORD MI
49802-4434
US

V. Phone/Fax

Practice location:
  • Phone: 906-828-2088
  • Fax: 906-771-8080
Mailing address:
  • Phone: 906-828-2088
  • Fax: 906-771-8080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: