Individual
MICHAEL GEORGE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22646 NINE MILE ROAD, STE C, ST CLAIR SHORES, MI 48080-1951
(586) 443-5400
(586) 443-5403
Mailing address
24535 JEFFERSON AVE, STE C, SAINT CLAIR SHORES, MI 48080-2898
(586) 443-5400
(586) 443-5403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
405365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4134989
—
MI
Enumeration date
06/12/2006
Last updated
09/12/2016
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