institution
Rudy J Vervaeke Md Plc
Addiction Medicine (Internal Medicine) Physician in Saint Clair Shores, Michigan
NPI 1548325186

Rudy J Vervaeke Md Plc is an Addiction Medicine (Internal Medicine) Physician based in Saint Clair Shores, MI and is specialized in Addiction Medicine. Rudy J Vervaeke Md Plc practices in Saint Clair Shores, MI. The NPI Number for Rudy J Vervaeke Md Plc is 1548325186 and holds a License No. 4301044898 (Michigan).

The current practice location address for Rudy J Vervaeke Md Plc is 24211 Little Mack Ave, Saint Clair Shores, MI and can be reached out via phone at 586-775-7400 and via fax at 586-775-0091.

Location: 24211 Little Mack Ave, Saint Clair Shores, MI, 48080-1151
institution
Provider Profile Details
NPI Number
1548325186
Provider Name
Rudy J Vervaeke Md Plc
Credential
Provider Entity Type
Organization
Address
24211 Little Mack Ave, Saint Clair Shores, MI, 48080-1151
Phone Number
586-775-7400
Fax Number
586-775-0091
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
770666348 01 MI COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
24211 Little Mack Ave
City
State
Zip
48080-1151
Phone Number
586-775-7400
Fax Number
586-775-0091
person
Provider Business Mailing Address Details
Address
24211 Little Mack Ave
City
State
Zip
48080-1151
Phone Number
586-775-7400
Fax Number
586-775-0091
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
4301044898 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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