Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 005031 | MI |
NPI | 1134249303 |
---|---|
Provider Name | Dr. Michael Kapraun |
First Address | Montrose, MI 48457-9782 |
Second Address | Montrose, MI 48457-9782 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1695487 | (05) | MI |