Provider Demographics
NPI:1952376212
Name:SILVA, ADRIANO OLIVEIRA
Entity type:Individual
Prefix:
First Name:ADRIANO
Middle Name:OLIVEIRA
Last Name:SILVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-4016
Mailing Address - Country:US
Mailing Address - Phone:231-360-8534
Mailing Address - Fax:
Practice Address - Street 1:1175 AIRPORT ACCESS RD
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3513
Practice Address - Country:US
Practice Address - Phone:231-922-8357
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other