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Organization
VISION OF HEALTH AND FUNCTIONAL MEDICINE PC
Active
Organization
VISION OF HEALTH AND FUNCTIONAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON EUGENE PROCTOR MD (OWNER)
(231) 745-4914
Entity
Organization
Contact information
Practice address
1234 WASHINGTON ST, BALDWIN, MI 49304-7737
(231) 745-4914
(269) 745-4922
Mailing address
1234 WASHINGTON ST, BALDWIN, MI 49304-7737
(231) 745-4914
(269) 745-4922
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
4301089365
MI
208D00000X
General Practice Physician
Primary
4301089365
MI
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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