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Individual

JAMES D HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Mailing address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18767
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0200038179
RR MEDICARE
MN
01
115526
UCARE
MN
05
1972943
IA
05
465388200
MN
01
48348HA
BCBS MPIN
MN
Enumeration date
09/14/2006
Last updated
04/01/2013
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