Individual
DR. VAUGHN A MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2115 M 119, PETOSKEY, MI 49770-8914
(231) 347-2518
(231) 347-8530
Mailing address
2115 M 119, PETOSKEY, MI 49770-8914
(231) 347-2518
(231) 347-8530
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901010159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2881039
—
MI
01
—
5246004
BCBS-MEDICAL
MI
01
—
D101590
BCBS OF MICHIGAN-DENTAL
MI
Enumeration date
08/31/2006
Last updated
07/08/2007
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