Individual
DR. SUSAN LOUISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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