Provider Demographics
NPI:1366447260
Name:SILBER, ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:SILBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 INKSTER RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2960
Mailing Address - Country:US
Mailing Address - Phone:734-422-0765
Mailing Address - Fax:734-422-0769
Practice Address - Street 1:5721 INKSTER RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2960
Practice Address - Country:US
Practice Address - Phone:734-422-0765
Practice Address - Fax:734-422-0769
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10440207Q00000X
MI4301085080207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR067979OtherCRUZ AZUL
PR1-10440OtherMCS
PR82680OtherTRIPLE S
PR0010733OtherHUMANA
PR583510717OtherCOSVI
PRF-28872Medicare UPIN