MEDICARE: WILLIAM G SILLS MD PC

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	207RC0000X	Cardiovascular Disease Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1437225158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM G SILLS MD PC

Provider Business Mailing Address
First Line	:	1223 S WASHINGTON
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067
Country	:	US
Telephone Number	:	248-399-9083
Fax Number	:	248-399-2417

Provider Business Practice Location Address
First Line	:	1223 S WASHINGTON
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067
Country	:	US
Telephone Number	:	248-399-9083
Fax Number	:	248-399-2417

Authorized Official
Title or Position	:	DOCTOR
Name	:	WILLIAM GILBERT SILLS
Credential	:	MD
Telephone Number	:	248-399-9083

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	03/13/2008

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