Ivy Marie Vachon

NPI #1992119606 in Marquette, Michigan

Provider Information

NPI Number: 1992119606
Entity Type: Individual
Name: Ivy Marie Vachon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jun 20, 2014
Last Updated: Jul 21, 2022

Practice Location

Address: 1414 W FAIR AVE
Address 2: SUITE 36
City: Marquette
State: Michigan
ZIP Code: 49855-2675
Phone: (906) 225-3867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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