Individual
GEOFFREY S HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 4TH AVE S, PARK FALLS, WI 54552-1922
(715) 762-2970
Mailing address
1120 7TH AVE, HOUGHTON, MI 49931-1406
(906) 482-4412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38482
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3239300
—
WI
Enumeration date
10/18/2006
Last updated
07/30/2012
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