Individual
BERT SILICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6450
(248) 661-6649
Mailing address
HENRY FORD HEALTH SYSTEM, 6777 WEST MAPLE ROAD, WEST BLOOMFIELD, MI 48323
(248) 661-6450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301065849
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H262530
BLUE CROSS-BLUE CROSS
—
05
—
347484110
—
MI
01
—
BS065849
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
08/23/2006
Last updated
03/09/2021
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