person
Stephen D Harris, DPM
Foot & Ankle Surgery Podiatrist in Grand Rapids, Michigan
NPI 1598760001

Stephen D Harris is a Foot & Ankle Surgery Podiatrist based in Troy, MI and is specialized in Foot & Ankle Surgery. Stephen D Harris practices in Grand Rapids, MI and has the professional credentials of DPM. The NPI Number for Stephen D Harris is 1598760001 and holds a License No. 5901001348 (Michigan).

The current practice location address for Stephen D Harris is 3260 Eagle Park Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-957-2088 and via fax at 855-665-5636.

Location: 3260 Eagle Park Dr Ne, Grand Rapids, MI, 48099-4839
person
Provider Profile Details
NPI Number
1598760001
Provider Name
Stephen D Harris
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3260 Eagle Park Dr Ne, Grand Rapids, MI, 48099-4839
Phone Number
616-957-2088
Fax Number
855-665-5636
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4853950100 01 MI BLUE CROSS BLUE SHIELD #
4348724 05 MI
P00019530 01 MI MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
3260 Eagle Park Dr Ne
City
State
Zip
49525-4569
Phone Number
616-957-2088
Fax Number
855-665-5636
person
Provider Business Mailing Address Details
Address
3260 Eagle Park Dr Ne
City
State
Zip
49525-4569
Phone Number
616-957-2088
Fax Number
855-665-5636
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901001348 (Michigan)
Definition
Definition to come...
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