Individual
DR. RICHARD E VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4575
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-7160
(906) 225-7165
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301407225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2505210391
BCBS
MI
05
—
4441120
—
MI
Enumeration date
09/06/2006
Last updated
04/16/2018
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