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Individual

MR. WAYNE RUSSELL SILVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LLP, CAADC

Contact information

Practice address
412 CENTURY LN, HOLLAND, MI 49423-4285
(616) 396-2301
(616) 396-8070
Mailing address
412 CENTURY LN, HOLLAND, MI 49423-4285
(616) 396-2301
(616) 396-8070

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011204
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P10D11275
BC/BS
MA
Enumeration date
07/31/2006
Last updated
03/25/2011
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