Individual
JOHAN ELLIOTT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 590-9195
Mailing address
502 FOREST AVE, ROYAL OAK, MI 48067-1958
(513) 582-3233
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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