# JERRY A TAYLOR DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831422419
- **Authorized official:** DR. JERRY ALAN TAYLOR D.O. (PRESIDENT)
- **Authorized official phone:** (248) 569-0334

## Contact information

- **Practice address:** 20905 GREENFIELD RD, NORTHLAND MEDICAL BUILDING SUITE 602, SOUTHFIELD, MI 48075-5360
- **Practice address phone:** (248) 569-0334
- **Practice address fax:** (248) 569-0818
- **Mailing address:** 20905 GREENFIELD RD, NORTHLAND MEDICAL BUILDING SUITE 602, SOUTHFIELD, MI 48075-5360
- **Mailing address phone:** (248) 569-0334
- **Mailing address fax:** (248) 569-0818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 09/14/2009