Individual
DR. MARSHALL ALLEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
947 PAYNE AVE, SAINT PAUL, MN 55101-4003
(651) 771-5540
(651) 645-5107
Mailing address
947 PAYNE AVE, SAINT PAUL, MN 55101-4003
(651) 771-5540
(651) 645-5107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K927CO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/26/2007
Last updated
07/08/2007
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