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Individual

JOEL MICHAEL HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5807 GRAND AVE, DULUTH, MN 55807-2459
(218) 624-2452
(218) 624-6048
Mailing address
5807 GRAND AVE, DULUTH, MN 55807-2459
(218) 624-2452
(218) 624-6048

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3044
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
231730
AMERICAN CHIROPRACTIC NET
MN
01
3C165HA
BLUE CROSS BLUE SHIELD
MN
01
44-01662
MEDICA
MN
05
668328200
MN
Enumeration date
01/04/2007
Last updated
12/15/2010
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