Individual
C DEAN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9792 HWY 70 W, MINOCQUA, WI 54548
(715) 356-1793
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35361
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32019400
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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