Provider Demographics
NPI:1780751834
Name:NEFF, TAYLOR E (MD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:E
Last Name:NEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W5205 US HIGHWAY 63
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:WI
Mailing Address - Zip Code:54767-7825
Mailing Address - Country:US
Mailing Address - Phone:715-688-2282
Mailing Address - Fax:
Practice Address - Street 1:246 TIERNEY DR
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-2515
Practice Address - Country:US
Practice Address - Phone:715-246-2521
Practice Address - Fax:715-246-7977
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33300-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine