| Clinton J Harris, MD, PLC | |
|
3600 E Fulton St Grand Rapids MI 49546-1322 | |
| (616) 949-4971 | |
| (616) 248-3530 |
| Full Name | Clinton J Harris, MD, PLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3600 E Fulton St, Grand Rapids, Michigan |
| Authorized Official Name and Position | Clinton Jacob Harris (PRESIDENT) |
| Authorized Official Contact | 6169494971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton J Harris, MD, PLC 3600 E Fulton Grand Rapids MI 49546-1322 Ph: (616) 949-4971 | Clinton J Harris, MD, PLC 3600 E Fulton St Grand Rapids MI 49546-1322 Ph: (616) 949-4971 |
| NPI Number | 1477521094 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477521094 | NPI | - | NPPES |
| 500D116030 | Other | MI | BCBSM |
| DA2804 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
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