Individual
DAVID DOUGLAS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
Mailing address
411 N 6TH ST # 1778, EMERY, SD 57332-2124
(317) 432-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36014
IA
207Q00000X
Family Medicine Physician
Primary
40821
MN
207Q00000X
Family Medicine Physician
49600
WI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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