Individual
MICHAEL GERRARD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15565 NORTHLAND DR W, SUITE 106E, SOUTHFIELD, MI 48075-5303
(248) 552-0880
(248) 569-8672
Mailing address
15565 NORTHLAND DR W, SUITE 106E, SOUTHFIELD, MI 48075-5305
(248) 552-0880
(248) 569-8672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049465
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2718512
—
MI
Enumeration date
02/07/2007
Last updated
07/08/2007
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