Individual
JAMES L. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-5596
(218) 927-4130
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2121
(218) 927-4130
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35828
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005250
MEDICARE WPS - HOSPITAL
MN
01
—
080015002
MEDICARE WPS - MCGREGOR C
MN
01
—
080015003
MEDICARE WPS - AITKIN CLI
MN
05
—
185720700
—
MN
Enumeration date
03/10/2006
Last updated
07/11/2007
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