Individual
DR. ANDREW JOSEPH VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 429-0900
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 429-0900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101022993
MI
208600000X
Surgery Physician
Primary
5101026883
MI
208600000X
Surgery Physician
82877
MN
Other
Enumeration date
05/01/2017
Last updated
07/31/2026
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