Individual
MATTHEW VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-2707
(651) 523-9800
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80119
MN
Other
Enumeration date
04/05/2022
Last updated
07/10/2025
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