Individual
DR. CHARLES MICHAEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6095 MARSHALEE DR, ELKRIDGE, MD 21075-6053
(410) 379-3599
Mailing address
6095 MARSHALEE DR, ELKRIDGE, MD 21075-6053
(410) 379-3599
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0041218
MD
208VP0000X
Pain Medicine Physician
Primary
D0041218
MD
Other
Enumeration date
10/10/2006
Last updated
09/25/2009
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