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Organization
SOUTHEASTERN MICHIGAN MEDICAL CONSULTANTS PC
Active
Organization
SOUTHEASTERN MICHIGAN MEDICAL CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY JEROME VERVAEKE MD (CEO)
(586) 775-7400
Entity
Organization
Contact information
Practice address
21420 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080-3607
(586) 775-7400
(586) 775-0091
Mailing address
21420 HARPER AVE, SUITE 2, SAINT CLAIR SHORES, MI 48080-3607
(586) 775-7400
(586) 775-0091
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301044898
MI
Other
Enumeration date
09/22/2006
Last updated
02/06/2015
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