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Contact Information

TAYLOR R JORDAN, MD
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN55344-5349
 Phone: 952-595-1301
 Fax: 612-294-4903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for TAYLOR R JORDAN · (Male)

NPI # 1629391305
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2010
Last updated 07/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A97803
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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