MEDICARE: DR. JACQUELINE L TAYLOR MD

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
1	207V00000X	Obstetrics & Gynecology Physician	4301076014	MI

General Provider Information

NPI Number	:	1972586113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUELINE L TAYLOR MD

Provider Business Mailing Address
First Line	:	1435 E 12 MILE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2653
Country	:	US
Telephone Number	:	248-543-2229
Fax Number	:	248-545-1023

Provider Business Practice Location Address
First Line	:	1435 E 12 MILE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2653
Country	:	US
Telephone Number	:	248-543-2229
Fax Number	:	248-545-1023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	03/17/2018

Similar Medicare Providers

1952385700 — DR. JAMES S LEWERENZ D.O.
Practice Location Address:

1467 E 12 MILE RD
MADISON HEIGHTS, MI
48071-2653

Practice Phone: 248-548-3060
Practice Fax: 248-548-3078

1902849045 — SIDNEY KAY SIMONIAN D.O.
Practice Location Address:

1421 E. 12 MILE , BLDG. A
MADISON HEIGHTS, MI
48071-2653

Practice Phone: 248-547-6656
Practice Fax: 248-547-5407

1578586780 — THOMAS IGNATIUS KING DPM
Practice Location Address:

1431 E 12 MILE RD
MADISON HEIGHTS, MI
48071-2653

Practice Phone: 248-542-5372
Practice Fax: 248-398-4345

1093812950 — TRACY L. SMILES M.P.T.
Practice Location Address:

1467 E 12 MILE RD
MADISON HEIGHTS, MI
48071-2653

Practice Phone: 248-658-2110
Practice Fax:

1508928847 — DAVINCII OBSTETRICS & GYNECOLOGY PLC
Practice Location Address:

1435 E 12 MILE RD
MADISON HEIGHTS, MI
48071-2653

Practice Phone: 248-543-2229
Practice Fax:

1417154535 — MRS. BETTY L NGUYEN D.D.S
Practice Location Address:

1415 E 12 MILE RD
MADISON HEIGHTS, MI
48071-2653

Practice Phone: 248-588-8966
Practice Fax: 248-577-0073

Directions to “ DR. JACQUELINE L TAYLOR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.