Healthcare Provider Details

I. General information

NPI: 1417408089
Provider Name (Legal Business Name): JOSEPH E SILVER DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 09/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35337 W WARREN AVE
WESTLAND MI
48185
US

IV. Provider business mailing address

8306 E 12 MILE RD
WARREN MI
48093-2759
US

V. Phone/Fax

Practice location:
  • Phone: 734-729-0300
  • Fax: 734-729-3466
Mailing address:
  • Phone: 586-573-4880
  • Fax: 586-573-2684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberJS400234
License Number StateMI

VIII. Authorized Official

Name: JOSEPH E SILVER
Title or Position: PRESIDENT
Credential: DPM
Phone: 586-573-4880