Healthcare Provider Details

I. General information

NPI: 1609490051
Provider Name (Legal Business Name): TAYLOR CHMURA MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 CAMPUS RIDGE DR
MIDLAND MI
48670-4200
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-1000
US

V. Phone/Fax

Practice location:
  • Phone: 989-794-0320
  • Fax: 989-839-1458
Mailing address:
  • Phone: 844-832-1956
  • Fax: 989-633-5241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number7201000012
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: