Organization
VISION OF HEALTH & FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON E. PROCTOR M.D. (PRESIDENT)
(231) 745-9250
Entity
Organization
Contact information
Practice address
740 7TH ST, BALDWIN, MI 49304-7895
(231) 745-9520
(231) 745-9252
Mailing address
740 7TH ST, BALDWIN, MI 49304-7895
(231) 745-9520
(231) 745-9252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301089365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OQ26239
—
MI
Enumeration date
11/01/2013
Last updated
11/01/2013
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