Basic Information
Provider Information
NPI: 1861501421
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALVER
FirstName: DAVID
MiddleName: ROBERT
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2994 ORANGE GROVE RD
Address2:  
City: WATERFORD
State: MI
PostalCode: 483292967
CountryCode: US
TelephoneNumber: 2486988611
FaxNumber:  
Practice Location
Address1: 2520 S TELEGRAPH RD
Address2: SUITE 200
City: BLOOMFIELD HILLS
State: MI
PostalCode: 483020285
CountryCode: US
TelephoneNumber: 2483359207
FaxNumber: 2483352394
Other Information
ProviderEnumerationDate: 08/29/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301028128MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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