Healthcare Provider Details

I. General information

NPI: 1083896443
Provider Name (Legal Business Name): JOSEPH E SILVER DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8306 E 12 MILE RD
WARREN MI
48093-2759
US

IV. Provider business mailing address

8306 E 12 MILE RD
WARREN MI
48093-2759
US

V. Phone/Fax

Practice location:
  • Phone: 586-573-4880
  • Fax: 586-573-2684
Mailing address:
  • Phone: 586-573-4880
  • Fax: 586-573-2684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH EDWARD SILVER
Title or Position: PRESIDENT
Credential: DPM
Phone: 586-573-4880