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Individual

DR. WILLIAM MICHAEL HARRIS

Active
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Individual

DR. WILLIAM MICHAEL HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1320
WV
207R00000X
Internal Medicine Physician
Primary
1320
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001316637
WV BCBS
WV
05
0077610000
WV
01
1056879
WV DWC
WV
01
5530031
AETNA
WV
01
P00030193
CH1 RAILROAD MEDICARE
WV
01
P00059183
CH2 RAILROAD MEDICARE
WV
Enumeration date
12/30/2005
Last updated
06/18/2019
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