Individual
DR. JOEL DAVID HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
54747
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010698
—
WI
Enumeration date
06/26/2008
Last updated
11/20/2023
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