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RUDY J VERVAEKE MD PLC
NPI 1548325186
Internal Medicine - Addiction Medicine in Saint Clair Shores, MI

Active since December 26, 2006
24211 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48080(586) 775-7400(586) 775-0091 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rudy J Vervaeke Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUDY J VERVAEKE MD PLC (NPI 1548325186) is a healthcare organization registered as an addiction medicine in Saint Clair Shores, Michigan and active in the NPI registry since December 2006. The organization lists Rudy Jerome Vervaeke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548325186
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameRUDY J VERVAEKE MD PLC
Location Address24211 LITTLE MACK AVESaint Clair Shores, MI 48080-1151
Mailing Address24211 Little Mack AveSaint Clair Shores, MI 48080-1151 · (586) 775-7400 · Fax (586) 775-0091
Phone(586) 775-7400
Fax(586) 775-0091
Organization SubpartNo
Authorized OfficialRudy Jerome VervaekeCeo · (586) 775-7400
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1548325186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in MI · 4301044898
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
24211 LITTLE MACK AVE, Saint Clair Shores, MI 48080
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB47051MI
Other770666348MI · Commercial

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAID KASMIKHA D.O.
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. GEORGE B GHANEM MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
THOMAS PATRICK DAVIS MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. DAVID JOSE RODRIGUEZ M.D.
Internal Medicine (Interventional Cardiology)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
THOMAS ALEXANDER LALONDE MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
MARC OLIVER GOSSELIN DO
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. DOMENIC G GROSSO D.O.
Student in an Organized Health Care Education/Training Program
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
GEORGES B GHAFARI MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudy J Vervaeke MD Plc's NPI number?

The NPI number for Rudy J Vervaeke MD Plc is 1548325186. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Rudy J Vervaeke MD Plc located?

Rudy J Vervaeke MD Plc is located at 24211 Little Mack Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 775-7400.

What is Rudy J Vervaeke MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Rudy J Vervaeke MD Plc was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.