Individual
ELIZABETH ANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 BRETON RD SE STE 102, KENTWOOD, MI 49508-5220
(616) 391-9700
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56010063004
MI
Other
Enumeration date
05/10/2011
Last updated
03/17/2021
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