person
Durene M Elem-vaughn, DPM
Primary Podiatric Medicine Podiatrist in Lincoln Park, Michigan
NPI 1417904376

Durene M Elem-vaughn is a Primary Podiatric Medicine Podiatrist based in Lincoln Park, MI and is specialized in Primary Podiatric Medicine. Durene M Elem-vaughn practices in Lincoln Park, MI and has the professional credentials of DPM. The NPI Number for Durene M Elem-vaughn is 1417904376 and holds a License No. 5901001503 (Michigan).

The current practice location address for Durene M Elem-vaughn is 1111 Fort St, Lincoln Park, MI and can be reached out via phone at 313-386-0000 and via fax at 313-386-1597.

Location: 1111 Fort St, Lincoln Park, MI, 48146-1802
person
Provider Profile Details
NPI Number
1417904376
Provider Name
Durene M Elem-vaughn
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1111 Fort St, Lincoln Park, MI, 48146-1802
Phone Number
313-386-0000
Fax Number
313-386-1597
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4858252150 01 MI BLUE CROSS BLUE SHIELD
2710766 05 MI
institution
Provider Business Practice Location Address Details
Address
1111 Fort St
City
State
Zip
48146-1802
Phone Number
313-386-0000
Fax Number
313-386-1597
person
Provider Business Mailing Address Details
Address
1111 Fort St
City
State
Zip
48146-1802
Phone Number
313-386-0000
Fax Number
313-386-1597
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
5901001503 (Michigan)
Definition
Definition to come...
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