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Individual

DR. ANGELA L HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2950 W OUTER DR, DETROIT, MI 48221-1750
(313) 586-7400
(313) 221-9124
Mailing address
PO BOX 21893, DETROIT, MI 48221-0893
(313) 586-7400
(313) 221-9124

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301058258
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0808234291
BCBSM
MI
Enumeration date
06/07/2007
Last updated
06/30/2010
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