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Individual

TIMOTHY JAMES HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
(513) 612-4479
Mailing address
255 W MICHIGAN AVE, P O BOX 1123, JACKSON, MI 49201-2218
(800) 516-5315
(517) 787-7365

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000179
OH

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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