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Individual

RICHARD L HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
37332
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104386019
MI
05
104444032
MI
05
104449496
MI
05
104584900
MI
01
140005931
RAILROAD
WI
01
1402100751
BCBS
MI
05
32184000
WI
01
P00032942
RAILROAD
MI
Enumeration date
06/28/2006
Last updated
04/21/2026
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