Individual
KEVIN MARK TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5361 MCAULEY DR, YPSILANTI, MI 48197-1011
(734) 712-1300
(734) 222-3665
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301047526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4393210-10
—
MI
Enumeration date
06/23/2006
Last updated
06/03/2015
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