Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 2012-01557 | NC |
N | 2082S0105X | Plastic Hand Surgeon | 2012-01557 | NC |
Y | 2082S0105X | Plastic Hand Surgeon | 49998 | MN |
NPI | 1952506214 |
---|---|
Provider Name | Albert R Harris |
First Address | Mankato, MN 56001-4752 |
Second Address | Mankato, MN 56001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 18/09/2020 |