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Individual

DR. MICHAEL R HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-2538
(415) 476-2929
Mailing address
1635 DIVISADERO ST, STE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G26763
CA
2086S0102X
Surgical Critical Care Physician
G26763
CA
2086S0120X
Pediatric Surgery Physician
G26763
CA
2086X0206X
Surgical Oncology Physician
G26763
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G267630
CA
Enumeration date
05/01/2006
Last updated
07/30/2008
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