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Vernon Proctor

  • Male

Medical Specialty

Professional ID

  • NPI: 1225215783
  • PECOS ID: 4789754680
  • Enrollment ID: I20090217000469
  • Credential(MD, DO, DPM):
  • Medical School: Wayne State University School Of Medicine
  • Medical School Graduation Year: 1992

Hospital Service

  • Hospital CCN1: 230097
  • Business Name (LBN)1: Munson Medical Center

Medical Practices

  • Organization Name: Vision Of Health And Functional Medicine Pc
  • Group Practice ID assigned by PECOS: 6800083544
  • Number of Group Practice member: 0

Location

  • Address1: 740 7th St
  • Address2:
  • City: Baldwin
  • State: Michigan
  • Zip Code: 49304
  • Phone Number: (231)745-9250

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):