Individual
DR. SUSAN LOUISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 BROWN ST, 700 KMS PLACE, ANN ARBOR, MI 48104-3203
(734) 936-2047
Mailing address
911 BROWN ST, 700 KMS PLACE, ANN ARBOR, MI 48104-3203
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080319
MI
2080A0000X
Pediatric Adolescent Medicine Physician
4301080319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101377820
—
MI
Enumeration date
04/03/2006
Last updated
10/24/2014
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