Vernon Proctor (NPI# 1225215783, PAC ID# 4789754680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1225215783 |
| PAC ID by PECOS | 4789754680 |
| Professional Enrollment ID | I20090217000469 |
| Full Name | Vernon Proctor |
| Organization Legal Name | VISION OF HEALTH AND FUNCTIONAL MEDICINE PC |
| Address |
740 7th St Baldwin MI 49304-7895 |
| Phone Number | 2317459250 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | ADDICTION MEDICINE |
| Secondary Specialties | GYNECOLOGICAL ONCOLOGY, PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 6800083544 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 740 7th St, Baldwin, MI 49304-7895 | 2317459250 | VISION OF HEALTH AND FUNCTIONAL MEDICINE PC |
| Organization Legal Name | VISION OF HEALTH AND FUNCTIONAL MEDICINE PC |
| Physicians | 1 |
| Street Address |
740 7TH ST |
| City | BALDWIN |
| State | MI |
| Zip | 49304-7895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Bales | Physical Therapy | 887 7th St, Baldwin, MI 49304-5104 | |
| Kelly J Bulk | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Lisabeth J Gee | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Roberto J Miller | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Peter E Fries | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Brett Joseph Stacer | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Matthew John Steel | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Russell Lewis Mcdaniel | Physician Assistant | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Daniel P Gilligan | Family Medicine | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Claudia J Schroeder | General Practice | Baldwin Family Health Care | 1615 Michigan Ave, Baldwin, MI 49304-7984 |
| Find all physicians in zip 49304 | |||
| City | BALDWIN |
| Zip Code | 49304 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | BALDWIN + ADDICTION MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.