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NPI Code Detail

MEDICARE: TAYLOR THOMAS

MEDICARE: TAYLOR THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1578402525
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR THOMAS
Provider Business Mailing Address
First Line : 1705 S SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-5633
Country : US
Telephone Number : 989-835-4041
Fax Number :
Provider Business Practice Location Address
First Line : 1705 S SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-5633
Country : US
Telephone Number : 989-835-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ TAYLOR THOMAS ” Practice Location

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