Organization
WARRENTON ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMOKAY TAYLOR M.D. (PRESIDENT)
(313) 294-2941
Entity
Organization
Contact information
Practice address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4900
(734) 547-4901
Mailing address
135 S PROSPECT ST, YPSILANTI, MI 48198-7914
(734) 547-4900
(734) 547-4901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301074208
MI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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