Individual
DUSTIN TAYLOR HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
310 LAFAYETTE AVE SE STE 300, GRAND RAPIDS, MI 49503-4693
(616) 685-3450
(616) 685-3460
Mailing address
310 LAFAYETTE AVE SE STE 300, GRAND RAPIDS, MI 49503-4693
(616) 685-3450
(616) 685-3460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020961
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101020961
MI
207RI0011X
Interventional Cardiology Physician
5101020961
MI
Other
Enumeration date
04/15/2014
Last updated
08/31/2023
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