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Individual

DR. WILLIAM ROBERT HARMON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
140 MACOMB, MT CLEMENS, MI 48043
(586) 468-7612
(586) 468-9701
Mailing address
140 MACOMB, MT CLEMENS, MI 48043
(586) 468-7370
(586) 464-1472

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003665
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
944498893
MI
Enumeration date
01/29/2007
Last updated
11/14/2008
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