Organization
MILLENNIUM MEDICAL GROUP WEST PC
Active
Other names
MILLENNIUM WEST DIAGNOSTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R SILVERSTONE D.O. (PRESIDENT)
(734) 728-2130
Entity
Organization
Contact information
Practice address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 728-2130
(734) 729-7453
Mailing address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 728-2130
(734) 729-7453
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801998448
BCN
MI
01
—
700H219190
BLUE SHIELD GROUP
MI
Enumeration date
09/03/2006
Last updated
05/26/2011
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