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Individual

FREDERICK BERNARD HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 W 140TH ST UNIT 201, BURNSVILLE, MN 55337
(952) 808-3000
(952) 808-3001
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(763) 520-7870

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
49533
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105200793
MN
05
34904900
WI
Enumeration date
04/03/2007
Last updated
03/21/2020
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