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Dr. Timothy R Harris, OD PLC

Optometrist in Davison, MI. Individual provider (NPI-1).

NPI number1073664587
StatusActive
Last updated in NPPESMar 28, 2011

Details

NPI
1073664587
Entity type
Individual (NPI-1)
Name
Dr. Timothy R Harris
Credential
OD PLC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 13, 2007
Last updated
Mar 28, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTH4901003573MIYes

Practice location

1016 S State Rd
Davison, MI 48423-1904

Phone 810-653-3206

Mailing address

1016 S State Rd
Davison, MI 48423-1904

Phone 810-653-3206

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