Individual
NATHAN PHILLIP HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2874
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(218) 732-2800
(218) 732-2874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52456
MN
208M00000X
Hospitalist Physician
52456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043472293
—
MN
Enumeration date
06/30/2008
Last updated
03/10/2017
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