Provider Demographics
NPI:1285633768
Name:SILVER, JOSEPH EDWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:SILVER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8306 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-2759
Mailing Address - Country:US
Mailing Address - Phone:586-573-4880
Mailing Address - Fax:586-573-2684
Practice Address - Street 1:8306 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-2759
Practice Address - Country:US
Practice Address - Phone:586-573-4880
Practice Address - Fax:586-573-2684
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJS400234213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4855011870OtherBC
MI4069307Medicaid
T34202Medicare UPIN
MI4069307Medicaid