Provider Demographics
NPI:1881696524
Name:SILVERMAN, HENRY R III (MD)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:R
Last Name:SILVERMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 SEAGATE STE 800
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:517-265-0214
Mailing Address - Fax:517-265-0814
Practice Address - Street 1:818 RIVERSIDE AVE
Practice Address - Street 2:5TH FLOOR CARDIOLOGY
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1446
Practice Address - Country:US
Practice Address - Phone:517-265-0214
Practice Address - Fax:517-265-0814
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301048832207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI146193OtherGLHP
MIP00143750OtherRRMC
MI18654OtherHPM
MI000000330122OtherANTHEM
MI00041OtherPHC
MI138946OtherPREFERRED CHOICES
MI138946OtherCARE CHOICES
MI4600950Medicaid
MI4002581OtherAETNA
MI1104610542OtherBCBS MI
MI146193OtherGLHP
$$$$$$$$$OtherHEALTH NET FEDERAL
MI000000330122OtherANTHEM
MIP00143750OtherRRMC
OHSI0511308Medicare ID - Type Unspecified
MI146193OtherGLHP