Provider Demographics
NPI:1295734044
Name:KAPLAN, PHILIP VANCE (DO)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:VANCE
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39650 ORCHARD HILL PL., STE 100
Mailing Address - Street 2:PULMONARY & CRITICAL CARE SPECIALISTS, PC
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375
Mailing Address - Country:US
Mailing Address - Phone:248-449-7010
Mailing Address - Fax:248-449-7015
Practice Address - Street 1:PULMONARY & CORTICAL CARE SPECIALISTS, PC
Practice Address - Street 2:39650 ORCHARD HILL PLACE, STE 100
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375
Practice Address - Country:US
Practice Address - Phone:248-449-7010
Practice Address - Fax:248-449-7015
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101010587207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4218111Medicaid
FT7740Medicare UPIN
MION15080Medicare ID - Type Unspecified