| Imagine Health, P.c. | |
|
1019 Haynes St Birmingham MI 48009-6779 | |
| (248) 647-3466 | |
| (248) 647-9142 |
| Full Name | Imagine Health, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1019 Haynes St, Birmingham, Michigan |
| Authorized Official Name and Position | Mark Lawrence Silverman (OWNER) |
| Authorized Official Contact | 2486470391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Health, P.c. 1019 Haynes St Birmingham MI 48009-6779 Ph: (248) 647-0391 | Imagine Health, P.c. 1019 Haynes St Birmingham MI 48009-6779 Ph: (248) 647-3466 |
| NPI Number | 1265623292 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 09/25/2009 |
| Medicare PECOS PAC ID | 6800987454 |
|---|---|
| Medicare Enrollment ID | O20070810000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265623292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301055165 (Michigan) | Primary |
| Provider Name | Mark L Silverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972620854 PECOS PAC ID: 8820189459 Enrollment ID: I20070810000239 |
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