Individual
JUSTIN W VERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
8049 TEATICKET LN, YPSILANTI, MI 48197-9345
(231) 510-2931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022541
MI
Other
Enumeration date
07/15/2016
Last updated
10/04/2021
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