Individual
BETHAN MARI VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR LBBY A, ANN ARBOR, MI 48105-9484
(734) 232-9884
(734) 232-9884
Mailing address
7105 PAMELA DR, YPSILANTI, MI 48197-1776
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2601000396
MI
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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