MEDICARE: DR. DAVID ROBERT CALVER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	4301028128	MI

General Provider Information

NPI Number	:	1861501421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ROBERT CALVER M.D.

Provider Business Mailing Address
First Line	:	2994 ORANGE GROVE RD
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48329-2967
Country	:	US
Telephone Number	:	248-698-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 S TELEGRAPH RD
Second Line	:	SUITE 200
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0285
Country	:	US
Telephone Number	:	248-335-9207
Fax Number	:	248-335-2394

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

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