Organization
HARRISON EYE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEBRE' HARRISON M.D. (CO-OWNER)
(616) 776-0016
Entity
Organization
Contact information
Practice address
435 CHERRY ST SE, GRAND RAPIDS, MI 49503-4672
(616) 776-0016
Mailing address
435 CHERRY ST SE, GRAND RAPIDS, MI 49503
(616) 776-0016
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301061087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005577
HEALTH PLAN MANAGEMENT SE
MI
05
—
2973533
—
MI
Enumeration date
12/05/2006
Last updated
08/22/2020
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