Organization
MEDICAL CENTER EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S TAYLOR M.D. (PRESIDENT)
(313) 966-1785
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330
(313) 745-3653
Mailing address
4201 SAINT ANTOINE ST, SUITE 3R, DETROIT, MI 48201-2153
(313) 745-3330
(313) 745-3653
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24972
BCBS OF MICHIGAN
MI
Enumeration date
05/09/2006
Last updated
10/07/2020
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