Healthcare Provider Details

I. General information

NPI: 1326432857
Provider Name (Legal Business Name): OAKLAND FAMILY WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 ELM ST STE B1
BIRMINGHAM MI
48009-6307
US

IV. Provider business mailing address

219 ELM ST STE B1
BIRMINGHAM MI
48009-6307
US

V. Phone/Fax

Practice location:
  • Phone: 248-397-4664
  • Fax:
Mailing address:
  • Phone: 248-397-4664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number099.1017342
License Number StateVT

VIII. Authorized Official

Name: DR. ELIJAH SILVER
Title or Position: NATUROPATHIC DOCTOR
Credential: ND
Phone: 248-397-4664