Individual
MARCUS HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13949 ARTESIAN ST, DETROIT, MI 48223-2915
(734) 355-4419
Mailing address
13949 ARTESIAN ST, DETROIT, MI 48223-2915
(734) 355-4419
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005141
MI
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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