Individual
JORDAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2122 HEALTH DR SW, WYOMING, MI 49519-9698
(616) 252-5790
(616) 252-5793
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINIATRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
510101819
MI
Other
Enumeration date
05/24/2007
Last updated
12/08/2017
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