Healthcare Provider Details

I. General information

NPI: 1346602448
Provider Name (Legal Business Name): TAYLOR ANN LIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR ANN SWABASH

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 JACKSON RD SUITE 260
ANN ARBOR MI
48103
US

IV. Provider business mailing address

4350 JACKSON RD SUITE 370
ANN ARBOR MI
48103
US

V. Phone/Fax

Practice location:
  • Phone: 734-434-3007
  • Fax: 734-434-6212
Mailing address:
  • Phone: 734-434-3007
  • Fax: 734-434-6212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberDR.0062455
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number4301503961
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: