MEDICARE: JENNIFER ILENE KAPLAN MD

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	207V00000X	Obstetrics & Gynecology Physician	4301077888	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750388930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ILENE KAPLAN MD

Provider Business Mailing Address
First Line	:	46325 W. TWELVE MILE ROAD
Second Line	:	SUITE 250
City	:	NOVI
State	:	MI
Zip	:	48377
Country	:	US
Telephone Number	:	248-465-1200
Fax Number	:	248-465-2800

Provider Business Practice Location Address
First Line	:	46325 W. TWELVE MILE ROAD
Second Line	:	SUITE 250
City	:	NOVI
State	:	MI
Zip	:	48377
Country	:	US
Telephone Number	:	248-465-1200
Fax Number	:	248-465-2800

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	07/08/2007

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