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General NPI Number Information
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NPI Number | 1417354564
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Entity Type | Individual
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Provider Name | CHRISTOPHER PLOENZKE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 475 CHIPPEWA MALL DR STE 418
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-5047
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Country | US
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Telephone | 715-720-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 1 VETERANS DR # 119
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 121772
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 121772
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License Number State | MN
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