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Organization

SILVERTON MEDICAL PARTNERS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS M. PROSE M.D. (PRESIDENT)
(248) 662-0250
Entity
Organization

Contact information

Practice address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
(248) 662-9845
Mailing address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
(248) 662-9845

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MI
363L00000X
Nurse Practitioner
MI

Other

Enumeration date
03/16/2016
Last updated
08/04/2016
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