Individual
ADON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7999
(660) 562-7996
Mailing address
4500 CASS AVE APT 913, DETROIT, MI 48201-1286
(316) 209-1654
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024032663
MO
208600000X
Surgery Physician
4301115278
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301115278
—
MI
05
—
5315092623
—
MI
Enumeration date
05/23/2018
Last updated
10/28/2024
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