Healthcare Provider Details

I. General information

NPI: 1942736103
Provider Name (Legal Business Name): TAYLOR ASHLEY ARGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR ASHLEY ARGO MD

II. Dates (important events)

Enumeration Date: 05/10/2017
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BARCLAY AVE NE STE 203
GRAND RAPIDS MI
49503-2527
US

IV. Provider business mailing address

100 MICHIGAN ST NE MC 845
GRAND RAPIDS MI
49503-2560
US

V. Phone/Fax

Practice location:
  • Phone: 616-391-2123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number4301505358
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301505358
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: