Individual
MICHAEL DEBRE' HARRISON
Active
Individual
MICHAEL DEBRE' HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301061087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413654
BLUE CROSS BLUE SHIELD
MI
01
—
1005577
KENT HEALTH PLAN
MI
05
—
2973533
—
MI
Enumeration date
11/07/2006
Last updated
07/08/2007
Update your record
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