Rudy J Vervaeke Md Plc in Saint Clair Shores - Addiction Medicine
Rudy J Vervaeke Md Plc - NPI 1548325186
Rudy J Vervaeke Md Plc is a Addiction Medicine in Saint Clair Shores, Michigan. Rudy J Vervaeke Md Plc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Rudy J Vervaeke Md Plc is 1548325186. The last update date is 2008-08-18.
Rudy J Vervaeke Md Plc's current location address is 24211 Little Mack Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867757400 and fax number 5867750091. The mailing address for Rudy J Vervaeke Md Plc is 24211 Little Mack Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rudy J Vervaeke Md Plc |
|---|---|
| Address | 24211 Little Mack Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867757400 |
| Fax Number | 5867750091 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Vervaeke Jerome Rudy |
| Credentials | M.D. |
| Telephone Number | 5867757400 |
NPI Number Detail
| NPI Number | 1548325186 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 24211 Little Mack Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480801151 |
| Phone Number | 5867757400 |
| Fax Number | 5867750091 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 4301044898 |
|
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 Qualification |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770666348 | MI | COMMERCIAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rudy J Vervaeke Md Plc by the Centers for Medicare & Medicaid Services?
The Rudy J Vervaeke Md Plc has been issued the NPI (National Provider Identifier) 1548325186, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Rudy J Vervaeke Md Plc is physically located?
The Rudy J Vervaeke Md Plc is situated at the following address: 24211 Little Mack Ave, Saint Clair Shores, MI 480801151.
What is Rudy J Vervaeke Md Plc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rudy J Vervaeke Md Plc is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0401X.
On what date did the Rudy J Vervaeke Md Plc receive the assignment of its 1548325186 from the Centers for Medicare & Medicaid Services?
The Rudy J Vervaeke Md Plc was issued its 1548325186 by the Centers for Medicare & Medicaid Services on 2006-12-26.
When was the Rudy J Vervaeke Md Plc's information last updated?
The Rudy J Vervaeke Md Plc's information was last updated on 2008-08-18.