Individual
DR. MANUEL C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Mailing address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 252-1050
(701) 952-3265
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
008
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11842
ND BLUE SHIELD
ND
05
—
13469
—
ND
01
—
2740001
MEDICA
—
01
—
449161007917
PREFERRED ONE
—
01
—
480012093
MEDICARE RR PIN
—
01
—
HP20791
HEALTH PARTNERS
—
Enumeration date
11/29/2005
Last updated
10/03/2011
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