Organization
JOHN W TAYLOR OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W TAYLOR (OWNER)
(517) 437-4300
Entity
Organization
Contact information
Practice address
59 BARRY ST, HILLSDALE, MI 49242-1809
(517) 437-4300
Mailing address
59 BARRY ST, HILLSDALE, MI 49242-1809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C00026
BCBS
MI
01
—
200000005009
PHPSM
MI
05
—
4583930
—
MI
Enumeration date
09/11/2007
Last updated
03/27/2024
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