Individual
JOHN W TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
(920) 433-8569
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27338-21
WI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
27338-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30023300
—
WI
Enumeration date
04/10/2006
Last updated
03/21/2024
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