Individual
MICHAEL TODD HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
655 W LOMBARD ST, BALTIMORE, MD 21201-1512
(410) 706-0501
Mailing address
900 E FORT AVE APT 739, BALTIMORE, MD 21230-5508
(304) 612-3611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R262094
MD
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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