Individual
DR. MICHAEL M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 MEMORIAL DRIVE, STE 130B, ALTON, IL 62002-4707
(618) 463-7600
(618) 463-7601
Mailing address
670 MASON RIDGE CENTER DR, STE. 300, SAINT LOUIS, MO 63141-8573
(618) 463-7600
(618) 463-7601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.057070
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336021726
—
IL
Enumeration date
11/10/2006
Last updated
05/16/2012
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