Individual
KATHRYN MARY JORDAN HARMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7300 DEXTER-ANN ARBOR RD, DEXTER, MI 48130-8598
(734) 426-2796
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078698
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805410252
BLUE CROSS BLUE SHIELD
MI
05
—
4628960
—
MI
01
—
700E460070
BCBS GROUP NUMBER
MI
Enumeration date
03/17/2006
Last updated
11/07/2019
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