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NPI Code Detail

MEDICARE: DR. MICHAEL M TAYLOR M.D.

MEDICARE:  DR. MICHAEL M TAYLOR  M.D.
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
1207X00000XOrthopaedic Surgery Physician036.057070IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730250051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL M TAYLOR M.D.
Provider Business Mailing Address
First Line : 670 MASON RIDGE CENTER DR
Second Line : STE. 300
City : SAINT LOUIS
State : MO
Zip : 63141-8573
Country : US
Telephone Number : 618-463-7600
Fax Number : 618-463-7601
Provider Business Practice Location Address
First Line : 4 MEMORIAL DRIVE
Second Line : STE 130B
City : ALTON
State : IL
Zip : 62002-4707
Country : US
Telephone Number : 618-463-7600
Fax Number : 618-463-7601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 05/16/2012

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Directions to “ DR. MICHAEL M TAYLOR M.D.” Practice Location

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