Individual
MR. EUGENE VERTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3331
Mailing address
25203 ALEXA DR, COMMERCE TWP, MI 48390-5849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007496
MI
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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