Individual
DR. BONNIE L. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4600 BRETON RD SE, SUITE 102, KENTWOOD, MI 49508-5262
(616) 391-9970
(616) 391-9707
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 391-9700
(616) 391-9707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528099884
—
MI
Enumeration date
07/05/2006
Last updated
12/22/2025
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