Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Michigan Medical Consultants PC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1942300884

Southeastern Michigan Medical Consultants PC is an Addiction Medicine (Internal Medicine) Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21420 Harper Ave Ste 2
Saint Clair Shores, MI 48080-3607
Phone: (586) 775-7400
Fax: (586) 775-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 4301044898 (MI)

Record details

NPI number1942300884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rudy Vervaeke — Ceo · (586) 775-7400
NPI enumeratedSeptember 22, 2006
Last updated in NPPESFebruary 6, 2015
Mailing address21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607

Other providers in Saint Clair Shores