Individual
REID SILAS SYVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSHM
Contact information
Practice address
210 W 25TH AVE, RM 2024, GARY, IN 46408
(317) 274-8157
Mailing address
4408 MCCOMB RD, HUNTERTOWN, IN 46748-9755
(260) 633-5868
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
07/09/2025
Last updated
07/14/2025
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