Individual
DR. JOEL J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27301 DEQUINDRE RD, STE 209, MADISON HEIGHTS, MI 48071
(248) 541-1500
(248) 541-2304
Mailing address
27301 DEQUINDRE RD, STE 209, MADISON HEIGHTS, MI 48071
(248) 541-1500
(248) 541-2304
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101006452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053390591
—
MI
01
—
700H273300
BLUE SHIELD
MI
Enumeration date
01/12/2006
Last updated
02/24/2015
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