W Richard Harris MD LLC

NPI #1770763443 in Fruitport, Michigan

Provider Information

NPI Number: 1770763443
Entity Type: Organization
Organization Name: W Richard Harris MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 9, 2007
Last Updated: Oct 23, 2008

Practice Location

Address: 4295 FARR RD
City: Fruitport
State: Michigan
ZIP Code: 49415-9753
Phone: (231) 865-6428

Authorized Official

Name: DR. WILLIAM RICHARD HARRIS, MD
Title: OWNER
Phone: (231) 865-6428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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