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Individual

WILLIAM C HARLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 548-1141
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34004345H
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000302751
BCBS
05
0667943
OH
Enumeration date
05/15/2006
Last updated
05/13/2011
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