| Doctor Name: | THOMAS J VEVERKA |
| NPI Number: | 1649265778 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0513000 |
| Business Practice Address: | 4011 Orchard Dr Suite 2004 Midland, MI - 486406190 |
| Business Phone Number: | 9898391795 |
| Business Fax Number: | 9898391785 |
| Mailing Address: | 4011 Orchard Dr, Suite 2004 MIDLAND |
| State: | MI |
| Postal Code: | 486406190 |
| Phone Number: | 9898391795 |
| Fax Number: | 9898391785 |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/23/2006 |
| NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0513000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |