DURENE M ELEM VAUGHN, DPM LINCOLN PARK, MI

Contact Information

DURENE M ELEM VAUGHN, DPM

1111 FORT ST
LINCOLN PARK, MI 48146-1802

Phone: 313-386-0000
Fax: 313-386-1597
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Podiatric Medicine	213EP1101X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for DURENE M ELEM VAUGHN · (Female)

NPI Number	`1417904376`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	05/27/2006
Last updated	09/19/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	MI License # 5901001503 MI Medicaid 2710766 MI Other 4858252150 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)	ST MARY MERCY HOSPITAL - (Acute Care) 36475 FIVE MILE ROAD LIVONIA, MI 48154

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DURENE M ELEM VAUGHN, DPM – NPI #1417904376Primary Podiatric Medicine

Contact Information

Specialty

Primary Podiatric Medicine

NPI Profile & details for DURENE M ELEM VAUGHN · (Female)

Reviews for DURENE M ELEM VAUGHN

DURENE M ELEM VAUGHN, DPM – NPI #1417904376
Primary Podiatric Medicine