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Individual

DR. MARK LAWRENCE SILVERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1019 HAYNES ST, BIRMINGHAM, MI 48009-6779
(248) 647-0391
(248) 647-9142
Mailing address
1019 HAYNES ST, BIRMINGHAM, MI 48009-6779
(248) 647-0391
(248) 647-9142

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301055165
MI
2084P0804X
Child & Adolescent Psychiatry Physician
4301055165
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172714
COMPSYCH PROVIDER #
MI
01
38-3309235
TAX ID #
Enumeration date
03/23/2007
Last updated
03/07/2023
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