Individual
JOHN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(503) 869-7252
Mailing address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(503) 869-7252
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
04/03/2024
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