Wilson Vaughan
Wilson Vaughan is a Family Practice in Lansing, Michigan. Qualified in 2020, 6 years ago. Practices with Sparrow Carson Hospital, a 64-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 6
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
1215 E Michigan AveLansing, MI 48912-1811
Phone: (517) 364-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 4351049300 (MI) |
|---|
Record details
| NPI number | 1477289882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 27, 2022 |
| Last updated in NPPES | July 27, 2022 |
| Certification date | July 27, 2022 |
| Mailing address | 1200 E Michigan Ave Ste 245, Lansing, MI 48912-1897 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Sparrow Carson Hospital — 64 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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