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Individual
DR. ANDREW MICHAEL HARRISON
Active
Individual
DR. ANDREW MICHAEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400154860
MEDICARE PTAN
IL
Enumeration date
07/18/2005
Last updated
05/24/2022
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