Provider Demographics
NPI:1346602448
Name:LIN, TAYLOR ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:ANN
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ANN
Other - Last Name:SWABASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4350 JACKSON RD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103
Mailing Address - Country:US
Mailing Address - Phone:734-434-3007
Mailing Address - Fax:734-434-6212
Practice Address - Street 1:4350 JACKSON RD
Practice Address - Street 2:SUITE 260
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103
Practice Address - Country:US
Practice Address - Phone:734-434-3007
Practice Address - Fax:734-434-6212
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR.00624552080P0201X
MI43015039612080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program