Provider Demographics
NPI:1669511796
Name:KAPLAN, MICHAEL D (LMSN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:D
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:LMSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 PACKARD RD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104
Mailing Address - Country:US
Mailing Address - Phone:734-663-9050
Mailing Address - Fax:734-663-4757
Practice Address - Street 1:2225 PACKARD RD
Practice Address - Street 2:SUITE ONE
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104
Practice Address - Country:US
Practice Address - Phone:734-663-9050
Practice Address - Fax:734-663-4757
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010640331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0891961Medicare ID - Type Unspecified