Basic Information
| Provider Information | |||||||||
| NPI: | 1215164959 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | APLIN | ||||||||
| FirstName: | BRETT | ||||||||
| MiddleName: | GREGORY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 SEAGATE STE 800 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436041558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192912003 | ||||||||
| FaxNumber: | 4194796977 | ||||||||
| Practice Location | |||||||||
| Address1: | 2109 HUGHES DR STE 450 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436065102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192912003 | ||||||||
| FaxNumber: | 4194796977 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2009 | ||||||||
| LastUpdateDate: | 01/08/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 4301500924 | MI | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 35137630 | OH | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0129X | 59646 | MN | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 2086S0129X | 4301500924 | MI | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 2086S0129X | 35137630 | OH | Y | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
ID Information
| ID | Type | State | Issuer | Description | 59646 | 01 | MN | MINNESOTA LICENSE | OTHER | PENDING | 05 | MI | MEDICAID | PENDING | 05 | OH | MEDICAID |