Individual
MATTHEW CHRISTOPHER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5450 FORT ST, EMERGENCY DEPT, TRENTON, MI 48183-4601
(734) 671-3883
(734) 467-5500
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPT, LIVONIA, MI 48150-3397
(734) 805-0488
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003515RX
OH
363A00000X
Physician Assistant
5601005985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12217951
CAQH
MI
Enumeration date
02/03/2011
Last updated
12/17/2025
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