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Individual

KARL HARNISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
39 BRIARWOOD DR, ATHENS, OH 45701-1302
(740) 593-8920
Mailing address
39 BRIARWOOD DR, ATHENS, OH 45701-1302
(740) 593-8920

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1139
ME
207P00000X
Emergency Medicine Physician
20A 5228
CA
207P00000X
Emergency Medicine Physician
Primary
34003814H
OH
207P00000X
Emergency Medicine Physician
55011-21
WI
207P00000X
Emergency Medicine Physician
OS-10241
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000392700
FL
01
03795
BLUE SHIELD
FL
05
0586790
OH
Enumeration date
08/24/2006
Last updated
02/09/2012
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