Organization
COMMUNITY PODIATRY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T TAYLOR DPM (OWNER)
(810) 230-0177
Entity
Organization
Contact information
Practice address
1303 S LINDEN RD STE D, FLINT, MI 48532-3442
(810) 230-0177
(810) 230-8090
Mailing address
1303 S LINDEN RD STE D, FLINT, MI 48532-3442
(810) 230-0177
(810) 230-8090
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480B56155
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/04/2006
Last updated
03/10/2009
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