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Dr. Rudy Jerome Vervaeke, MD
Addiction Medicine (Internal Medicine) Physician in Saint Clair Shores, Michigan
NPI 1922108927

Rudy Jerome Vervaeke is an Addiction Medicine (Internal Medicine) Physician based in Saint Clair Shores, MI and is specialized in Addiction Medicine. Rudy Jerome Vervaeke practices in Saint Clair Shores, MI and has the professional credentials of MD. The NPI Number for Rudy Jerome Vervaeke is 1922108927 and holds a License No. 4301044898 (Michigan).

The current practice location address for Rudy Jerome Vervaeke is 21420 Harper Ave, Saint Clair Shores, MI and can be reached out via phone at 586-775-7400 and via fax at 586-775-0091.

Location: 21420 Harper Ave, Saint Clair Shores, MI, 48080-3607
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Provider Profile Details
NPI Number
1922108927
Provider Name
Rudy Jerome Vervaeke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21420 Harper Ave, Saint Clair Shores, MI, 48080-3607
Phone Number
586-775-7400
Fax Number
586-775-0091
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4842512-10 05 MI
352263519 01 MI COMMERCIAL
1105018171 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
21420 Harper Ave
City
State
Zip
48080-3607
Phone Number
586-775-7400
Fax Number
586-775-0091
person
Provider Business Mailing Address Details
Address
21420 Harper Ave
City
State
Zip
48080-3607
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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