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Individual

JOHN R HARDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11051 HALL RD, SUITE 200, UTICA, MI 48317-5735
(586) 254-5759
(586) 254-5793
Mailing address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301052640
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0985061
HEALTH PLUS
MI
01
120719
PRIORITY HEALTH
MI
01
340010641
RAILROAD MEDICARE
MI
01
5287084
AETNA
MI
01
9447264001
CIGNA
MI
01
G09867
HAP
MI
Enumeration date
04/20/2006
Last updated
07/28/2008
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