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Southeastern Michigan Medical Consultants PC

Addiction Medicine (Internal Medicine) Physician in Saint Clair Shores, MI · enumerated 2006 · authorized official Rudy Vervaeke, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942300884

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Michigan Medical Consultants PC
Practice address 21420 Harper Ave, Suite 2, Saint Clair Shores, MI, 48080
Fax (586) 775-0091
Enumeration date Sep 22, 2006
Last updated in NPPES Feb 6, 2015

Taxonomy & classification

207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 4301044898 (MI) Primary

Authorized official

Name Rudy Vervaeke
Title Ceo

Other identifiers

Identifier Type State Issuer
4329604 Other MI AETNA
010E023690 Other MI BCBS
B47051 Other MI HAP
DE9629 Other MI RAILROAD MEDICARE GROUP
010E023690 Other MI BCN
1942300884 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southeastern Michigan Medical Consultants PC located?
The practice location on file with NPPES is in Saint Clair Shores, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-02-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-06.