MEDICARE: GARY S KAPLAN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	GK000625	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480045180	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4858253530	OTHER		BCBSM
4	5821330	OTHER	MI	BCBSM
5	0H23403	OTHER		BCBS

General Provider Information

NPI Number	:	1386631083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY S KAPLAN DPM

Provider Business Mailing Address
First Line	:	14608 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1931
Country	:	US
Telephone Number	:	313-527-6030
Fax Number	:	313-527-3189

Provider Business Practice Location Address
First Line	:	14608 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1931
Country	:	US
Telephone Number	:	313-527-6030
Fax Number	:	313-527-3189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	03/16/2009

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Directions to “ GARY S KAPLAN DPM” Practice Location

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