Individual
TAYLOR FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(833) 663-7874
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301511871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412109701
—
TX
01
—
412109702
CSHCN
TX
Enumeration date
04/02/2016
Last updated
08/18/2025
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