Provider Demographics
NPI:1780894949
Name:KAPLAN, LIGE M (MD)
Entity type:Individual
Prefix:DR
First Name:LIGE
Middle Name:M
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:30575 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0980
Mailing Address - Country:US
Mailing Address - Phone:248-280-8550
Mailing Address - Fax:248-280-8571
Practice Address - Street 1:6950 E CHAUNCEY LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5178
Practice Address - Country:US
Practice Address - Phone:602-726-8805
Practice Address - Fax:623-873-8565
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301080400207X00000X
AZ57750207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0767220001OtherADMINISTAR FEDERAL
MI0F31114OtherBCBS
MI0F33583OtherBCBS DME
MI0767220001OtherADMINISTAR FEDERAL