Individual
COURTNEY N TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4350 JACKSON RD STE 200, ANN ARBOR, MI 48103-1889
(734) 761-2581
(734) 761-9540
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008922
MI
363AM0700X
Medical Physician Assistant
004237
GA
Other
Enumeration date
05/20/2007
Last updated
06/06/2019
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