Individual
DR. DOMINIC HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MACARTHUR BLVD STE 405, MUNSTER, IN 46321-2919
(219) 836-5167
(219) 836-5249
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(193) 927-0842
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01092666A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300087072
—
IN
Enumeration date
04/18/2015
Last updated
07/17/2024
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