Individual
MANSUETO SILVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9006 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2501
(219) 923-2241
(219) 838-3455
Mailing address
PO BOX 1134, CROWN POINT, IN 46308-1134
(219) 662-3931
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010357001
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214260
—
IN
01
—
110234218
MEDICARE RR
IN
Enumeration date
06/17/2005
Last updated
08/01/2017
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