Organization Name: | DONALD M TAYLOR MD PC |
NPI Number: | 1003183435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD M TAYLOR (PRESIDENT) |
Mailing Address: | 1629 W Big Beaver Rd Troy |
State: | MI US |
Postal Code: | 480843542 |
Phone Number: | 2486492266 |
Fax Number: | 2486497246 |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 30829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |