Individual
DR. JOEL J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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