Organization
M A VERARDI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN VERARDI MD (OWNER)
(248) 689-8927
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3499
(248) 858-6261
Mailing address
3120 FRANKTON DR, TROY, MI 48083-5072
(248) 689-8927
(248) 858-6261
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301082523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407039415
—
MI
01
—
4301082523
STATE LICENSE NUMBER
MI
01
—
5315033926
STATE CONTROLLED SUBSTANCE REGISTRATION
—
Enumeration date
05/24/2011
Last updated
03/07/2023
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