Vision of Health and Functional Medicine PC

NPI #1366761520 in Baldwin, Michigan

Provider Information

NPI Number: 1366761520
Entity Type: Organization
Organization Name: Vision of Health and Functional Medicine PC
Primary Specialty: General Practice
Enumeration Date: May 26, 2010
Last Updated: May 26, 2010

Practice Location

Address: 1234 WASHINGTON ST
City: Baldwin
State: Michigan
ZIP Code: 49304-7737
Phone: (231) 745-4914

Authorized Official

Name: VERNON EUGENE PROCTOR, MD
Title: OWNER
Phone: (231) 745-4914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine	2083P0500X
General Practice	208D00000X	Primary

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