MEDICARE: MICHAEL DRAPLIN D.C.

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	111N00000X	Chiropractor	MD007583	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD007583	OTHER	MI	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	95OH253990	OTHER	MI	BCBS
4	95OF373730	OTHER	MI	GROUP BCBS

General Provider Information

NPI Number	:	1811965858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DRAPLIN D.C.

Provider Business Mailing Address
First Line	:	2151 E JEFFERSON AVE
Second Line	:	LOWER LEVEL
City	:	DETROIT
State	:	MI
Zip	:	48207-4161
Country	:	US
Telephone Number	:	313-566-0032
Fax Number	:	313-566-0036

Provider Business Practice Location Address
First Line	:	2151 E JEFFERSON AVE
Second Line	:	LOWER LEVEL
City	:	DETROIT
State	:	MI
Zip	:	48207-4161
Country	:	US
Telephone Number	:	313-566-0032
Fax Number	:	313-566-0036

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/08/2007

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