Michael Jeffrey Harrison

NPI #1972006914 in Portage, Michigan

Provider Information

NPI Number: 1972006914
Entity Type: Individual
Name: Michael Jeffrey Harrison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Mar 15, 2018
Last Updated: Oct 20, 2022

Practice Location

Address: 3801 GLENKERRY CT STE 2
City: Portage
State: Michigan
ZIP Code: 49024-0711
Phone: (269) 323-1527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Oral & Maxillofacial Surgery	204E00000X	Primary

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