Individual
DR. JOHN W TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
59 BARRY ST, HILLSDALE, MI 49242-1809
(517) 437-4300
(517) 437-3898
Mailing address
59 BARRY ST, HILLSDALE, MI 49242-1809
(517) 437-4300
(517) 437-3898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-20041
PHP OF SOUTH MICHIGAN
MI
01
—
364533227
CIGNA HEALTHCARE
MI
05
—
4583930
—
MI
01
—
4991390001
ADMINISTAR FEDERAL DMERC
MI
01
—
900C065080
BCBS OF MI
MI
01
—
P00202329
PALMETTO GBA RR MEDICARE
MI
Enumeration date
08/19/2006
Last updated
03/25/2024
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