Provider Demographics
NPI:1992713374
Name:SILVER, MARVIN D (MD)
Entity type:Individual
Prefix:
First Name:MARVIN
Middle Name:D
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 COPPER CLIFF COURT
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1923
Mailing Address - Country:US
Mailing Address - Phone:248-646-4267
Mailing Address - Fax:775-766-5763
Practice Address - Street 1:4309 COPPER CLIFF COURT
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1923
Practice Address - Country:US
Practice Address - Phone:248-646-4267
Practice Address - Fax:775-766-5763
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301024831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology