Individual
DR. MICHAEL DERALD VAUGHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8554 KAPP DR, BOX 102, PEOSTA, IA 52068-9759
(563) 557-1212
Mailing address
8554 KAPP DR, BOX 102, PEOSTA, IA 52068-9759
(563) 557-1212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06062
IA
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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