Individual
DR. GERALD J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 N 87TH ST, MED COLLEGE CLINICS AT THE EYE INST, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300
Mailing address
925 N 87TH ST, MED COLLEGE CLINICS AT THE EYE INST, MILWAUKEE, WI 53226-4812
(414) 456-2020
(414) 456-6300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20742
WI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
20742
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000119X
HUMANA
—
05
—
1629029467
—
WI
Enumeration date
05/15/2006
Last updated
04/12/2016
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