Individual
BENJAMIN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6016 LOVERS LN STE 3, PORTAGE, MI 49002-3050
(269) 329-0934
(269) 329-0965
Mailing address
866 3 MILE RD NW, GRAND RAPIDS, MI 49544-8217
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501017354
MI
Other
Enumeration date
10/30/2015
Last updated
07/17/2025
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