Individual
HAROLD E. JOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5381 DEEP WOOD RD., BLOOMFIELD HILLS, MI 48302-2912
(248) 644-8351
(248) 644-8351
Mailing address
5381 DEEP WOOD RD., BLOOMFIELD HILLS, MI 48302-2912
(248) 644-8351
(248) 644-8351
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301035473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636264
BLUE CROSS BLUE SHIELD
—
05
—
101005067
—
MI
01
—
ON15280010
MEDICARE
—
Enumeration date
02/15/2006
Last updated
01/05/2009
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