Individual
MARK P TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28590
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702740
MEDICA MN
—
01
—
115554
UCARE MN
—
01
—
160025572
RR MEDICARE
—
01
—
1652118
AMERICAS PPO MN
—
05
—
337385100
—
MN
01
—
410849339 56001 C028
CHAMPUS
—
01
—
49433TA
BCBS MN
—
05
—
928549
—
IA
01
—
HP25870
HEALTH PARTNERS MN
—
01
—
NA2951023863
PREFERRED ONE MN
—
Enumeration date
01/10/2006
Last updated
07/15/2020
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