Individual
MICHAEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 567-7423
(314) 567-7562
Mailing address
745 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 567-7423
(314) 567-7562
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
18045537
MO
Other
Enumeration date
04/06/2007
Last updated
04/30/2008
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