Individual
MICHAEL R. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MARY ST, SUITE 230, EVANSVILLE, IN 47710-1677
(812) 452-3400
(812) 452-3403
Mailing address
520 MARY ST, SUITE 230, EVANSVILLE, IN 47710-1677
(812) 452-3400
(812) 452-3403
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01039589
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100343880
—
IN
Enumeration date
01/10/2006
Last updated
07/20/2011
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