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Michael Derek Vaughn, MD
Orthopedic Hand Surgery Physician in Green Bay, Wisconsin
NPI 1427476969

Michael Derek Vaughn is a Orthopedic Hand Surgery Physician based in Green Bay, WI and is specialized in Hand Surgery. Michael Derek Vaughn practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Michael Derek Vaughn is 1427476969 and holds a License No. (Wisconsin).

The current practice location address for Michael Derek Vaughn is 1970 S Ridge Rd, Green Bay, WI and can be reached out via phone at 920-430-4888. You can also correspond with Michael Derek Vaughn through the mailing address at 1970 S RIDGE RD, GREEN BAY, WI - 54304-4125 (mailing address contact number: 270-703-2359).

Location: 1970 S Ridge Rd, Green Bay, WI, 54304-4125
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Provider Profile Details
NPI Number
1427476969
Provider Name
Michael Derek Vaughn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1970 S Ridge Rd, Green Bay, WI, 54304-4125
Phone Number
920-430-4888
Fax Number
Provider Enumeration Date
04/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0128762 05 OH
institution
Provider Business Practice Location Address Details
Address
1970 S Ridge Rd
City
State
Zip
54304-4125
Phone Number
920-430-4888
Fax Number
person
Provider Business Mailing Address Details
Address
1970 S Ridge Rd
City
State
Zip
54304-4125
Phone Number
920-430-4888
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
License No.
73428-20 (Wisconsin)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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