Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 2901015329 | MI |
NPI | 1114018009 |
---|---|
Provider Name | Dr. Mitchell D. Kaplan |
First Address | Ann Arbor, MI 48104-5149 |
Second Address | Ann Arbor, MI 48104-5149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 29/12/2016 |