DR. Rudy Jerome Vervaeke M.D.

  • NPI 1922108927
According to our database, the NPI number for DR. Rudy Jerome Vervaeke M.D. is 1922108927 and activated since 17 years ago. DR. Rudy Jerome Vervaeke M.D. is an individual provider who specializes in Addiction Medicine, and the primary practice location is 21420 Harper Ave, Saint Clair Shores, MI 48080. You can also contact DR. Rudy Jerome Vervaeke M.D. via telephone number is (586) 775-7400. Provider NPI information was last updated on 11/20/2015.

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Overview of DR. Rudy Jerome Vervaeke M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/22/2006
  • Last updated: 11/20/2015

Primary Scrop of Practice

  • Taxonomy Code: 207RA0401X
  • Specialty: Addiction Medicine
  • License Number: 4301044898
  • License State: MI

Provider Mailing Address

  • Address: 21420 Harper Ave
    Suite 2
    Saint Clair Shores, MI 48080
  • Phone: 586-775-7400
  • Fax: 586-775-0091

Provider Practice Location

  • Address: 21420 Harper Ave
    Suite 2
    Saint Clair Shores, MI 48080
  • Phone: 586-775-7400
  • Fax: 586-775-0091

Scope of Practice

  • Taxonomy Code: 207RA0401X
  • Specialty: Addiction Medicine
  • License Number: 4301044898
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1105018171
  • Identifier Type: Other
  • Identifier State: MA
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Rudy Jerome Vervaeke M.D.?
  • A: The npi number for DR. Rudy Jerome Vervaeke M.D. is 1922108927.
  • Q: What are DR. Rudy Jerome Vervaeke M.D.'s specialties?
  • A: DR. Rudy Jerome Vervaeke M.D.'s specialties are Addiction Medicine and different specialities.
  • Q: What is the medical license for DR. Rudy Jerome Vervaeke M.D.?
  • A: The medical license number for DR. Rudy Jerome Vervaeke M.D. is 4301044898 and issued in MI in USA.
  • Q: Where is DR. Rudy Jerome Vervaeke M.D. practice location?
  • A: DR. Rudy Jerome Vervaeke M.D. is practicing at 21420 Harper Ave, Saint Clair Shores, MI 48080.
  • Q: How to contact DR. Rudy Jerome Vervaeke M.D.?
  • A: You can contact DR. Rudy Jerome Vervaeke M.D. via 586-775-7400.
Medicare Specialty
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Addiction Medicine
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