Individual
RENEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43902 WOODWARD AVE STE 230, BLOOMFIELD HILLS, MI 48302-5022
(248) 481-8428
(248) 977-5462
Mailing address
29279 WILLOWICK CT, SOUTHFIELD, MI 48076-1713
(248) 885-0471
(248) 977-5462
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301071674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605801692
BC
MI
05
—
4212673
—
MI
Enumeration date
02/08/2007
Last updated
04/20/2023
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