Individual
DR. ANTHONY F HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29201 TELEGRAPH RD STE 460, SOUTHFIELD, MI 48034-7604
(248) 450-3507
Mailing address
19141 GREENFIELD RD, DETROIT, MI 48235-6007
(313) 836-5801
(313) 836-1144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104767
GREAT LAKES HEALTH PLAN
—
01
—
1108249642
BCBS
—
01
—
130640
CARE CHOICES
—
05
—
1368015
—
MI
Enumeration date
12/04/2006
Last updated
12/17/2018
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