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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010E023690
BCBS
MI
05
—
1942300884
—
MI
01
—
4329604
AETNA
MI
01
—
B47051
HAP
MI
01
—
DE9629
RAILROAD MEDICARE GROUP
MI
Enumeration date
09/22/2006
Last updated
02/06/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us