Individual
SEAN PAUL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PROSTETIST
Contact information
Practice address
3318 GOLD DUST ST NE, BELMONT, MI 49306-9157
(616) 490-8564
Mailing address
3318 GOLD DUST ST NE, BELMONT, MI 49306-9157
(616) 490-8564
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CP003634
NE
Other
Enumeration date
09/23/2008
Last updated
10/13/2016
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