Individual
MICHELLE R HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 E WALNUT ST, GARDEN CITY, KS 67846-5572
(620) 275-9752
(620) 275-4306
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01049107A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
04-49028
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200190940
—
IN
Enumeration date
09/21/2005
Last updated
02/10/2026
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