Organization Name: | MICHAEL G. TAYLOR,M.D.P.L.C. |
NPI Number: | 1902070014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL GEORGE TAYLOR (PRESIDENT) |
Mailing Address: | 22646 E 9 Mile Rd Ste. C Saint Clair Shores |
State: | MI US |
Postal Code: | 480801951 |
Phone Number: | 5864435400 |
Fax Number: | 5864435403 |
NPI Enumeration Date: | 04/18/2008 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 405365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |