Organization
SILVERTON SKIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBALL SILVERTON DO (OWNER)
(810) 424-2007
Entity
Organization
Contact information
Practice address
8245 HOLLY RD, SUITE 101, GRAND BLANC, MI 48439-2443
(810) 606-7500
(810) 606-9600
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101009273
MI
Other
Enumeration date
02/14/2007
Last updated
09/20/2007
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