Physician Compare National (NPI:1881771152)

HEALTHCARE PROVIDER: EDWARD GEORGE PLENTZ D.C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881771152
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799749677
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100827000193
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PLENTZ
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9909 WAMPLERS LAKE RD
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	492309503
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y