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Ivy Marie Vachon
Family Medicine Physician in Marquette, Michigan
NPI 1992119606

Ivy Marie Vachon is a Family Medicine Physician based in Green Bay, MI. Ivy Marie Vachon practices in Marquette, MI. The NPI Number for Ivy Marie Vachon is 1992119606 and holds a License No. 4301105908 (Michigan).

The current practice location address for Ivy Marie Vachon is 1414 W Fair Ave, Marquette, MI and can be reached out via phone at 906-225-3867.

Location: 1414 W Fair Ave, Marquette, MI, 54305-1866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992119606
Provider Name
Ivy Marie Vachon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1414 W Fair Ave, Marquette, MI, 54305-1866
Phone Number
906-225-3867
Fax Number
Provider Enumeration Date
06/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-3867
Fax Number
person
Provider Business Mailing Address Details
Address
1414 W Fair Ave
City
Marquette
State
Michigan
Zip
49855-2675
Phone Number
906-225-3867
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
67308-20 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301105908 (Michigan)
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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