Individual
DR. CHARLES R HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 MICHIGAN ST NE, STE 6300, GRAND RAPIDS, MI 49503-2562
(616) 486-6000
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
CH070071
MI
Other
Enumeration date
08/30/2006
Last updated
07/01/2021
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