Most Relevant Information
Provider Data
| NPI Number: | 1003499336 |
| Provider Name: | TAYLOR BACON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2021 |
| Last Updated: | 05/04/2021 |
Provider Practice Location
440 SCIENCE DR STE 300
MADISON
WI
537111064
Practice Location Phone/Fax
| Phone: | 6082364460 |
| Fax: |
Provider Mailing Location
8440 MARKET ST APT 223
MIDDLETON
WI
535624778
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |