Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1845 | MN |
NPI | 1003041229 |
---|---|
Provider Name | Dr. Michael Evan Kaplan |
First Address | Golden Valley, MN 55422 |
Second Address | Golden Valley, MN 55422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 18/05/2009 |