Healthcare Provider Details

I. General information

NPI: 1033005897
Provider Name (Legal Business Name): ANDREW ASHBY PLOCHER D.MIN.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W MAGNETIC ST
MARQUETTE MI
49855-2708
US

IV. Provider business mailing address

415 W MICHIGAN ST
MARQUETTE MI
49855-3334
US

V. Phone/Fax

Practice location:
  • Phone: 906-225-1119
  • Fax:
Mailing address:
  • Phone: 906-373-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4151001173
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: