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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