Individual
DR. DAVID JOHN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MACARTHUR BLVD STE 304, MUNSTER, IN 46321-2920
(219) 836-1060
(219) 836-1014
Mailing address
757 45TH AVE, STE 201, MUNSTER, IN 46321-2911
(219) 934-2461
(219) 934-2478
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01067051
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
218924
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700060613
NPI
IN
Enumeration date
12/27/2007
Last updated
12/16/2020
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