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Individual

GENA L HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14001 GREENFIELD RD, DETROIT, MI 48227-2101
(313) 273-1200
(313) 273-8130
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301099427
MI

Other

Enumeration date
05/11/2011
Last updated
11/17/2020
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