Individual
DR. VERNON EUGENE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1234 WASHINGTON ST, BALDWIN, MI 49304-7737
(231) 745-4914
(231) 745-4922
Mailing address
1234 WASHINGTON ST, BALDWIN, MI 49304-7737
(231) 745-4914
(231) 745-4922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00049285
WA
2083P0901X
Public Health & General Preventive Medicine Physician
4301089365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0Q26239
—
MI
Enumeration date
01/28/2008
Last updated
11/25/2008
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