MEDICARE: DR. JEFFREY TULIN SILVER MD

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	207K00000X	Allergy & Immunology Physician	4301035980	MI
2	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	4301035980	MI

General Provider Information

NPI Number	:	1336120203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY TULIN SILVER MD

Provider Business Mailing Address
First Line	:	6330 ORCHARD LAKE RD
Second Line	:	SUITE 110
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2398
Country	:	US
Telephone Number	:	248-932-0082
Fax Number	:	248-932-0182

Provider Business Practice Location Address
First Line	:	6330 ORCHARD LAKE RD
Second Line	:	SUITE 110
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2398
Country	:	US
Telephone Number	:	248-932-0082
Fax Number	:	248-932-0182

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	04/10/2017

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