Individual
DR. JACOB MARSHALL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
905 E COLBY ST STE 100, WHITEHALL, MI 49461
(231) 728-5910
(231) 728-5918
Mailing address
2734 E APPLE AVE, MUSKEGON, MI 49442-4413
(231) 798-4462
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
5101022331
MI
207Q00000X
Family Medicine Physician
Primary
5101022331
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720367055
—
MI
Enumeration date
08/04/2011
Last updated
02/18/2025
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