Individual
PHILIP TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3152 PORT SHELDON ST, SUITE C, HUDSONVILLE, MI 49426-9297
(616) 669-9238
(616) 669-8296
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101009981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2870886
—
MI
Enumeration date
07/05/2006
Last updated
01/08/2013
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