Provider Demographics
NPI:1124004825
Name:SILVERSTONE, MICHAEL S (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:SILVERSTONE
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:248-291-3715
Practice Address - Street 1:IHA HOSPITAL MEDICINE SERVICES
Practice Address - Street 2:5301 MCAULEY DRIVE
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-712-8676
Practice Address - Fax:734-728-2626
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2023-09-07
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Provider Licenses
StateLicense IDTaxonomies
MI5101010227207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIC3832OtherM'CARE
MI5820482OtherWLC BCBS INDIVIDUAL
MI700F314390OtherBLUE SHIELD
MI1124004825Medicaid
MI700H219150OtherBLUE SHIELD
MIF37809Medicare UPIN
MI0M96210067Medicare PIN
MI700H219150OtherBLUE SHIELD