Individual
MICHAEL C TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1500 PROVIDENT DRIVE, STE A, WARSAW, IN 46580
(574) 372-7637
Mailing address
1500 PROVIDENT DRIVE, STE A, WARSAW, IN 46580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000546A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531677
ANTHEM
—
Enumeration date
06/15/2006
Last updated
09/17/2020
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