Individual
SEBASTIAN M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 BROADWAY, SUITE 350, FORT WAYNE, IN 46802-1411
(260) 423-2682
(260) 422-4326
Mailing address
750 BROADWAY, SUITE 150, FORT WAYNE, IN 46802-1411
(260) 423-2682
(260) 422-4326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074347A
IN
Other
Enumeration date
06/13/2013
Last updated
10/10/2014
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