Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 5101009348 | MI |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 5101009348 | MI |
NPI | 1720026867 |
---|---|
Provider Name | Dr. Gerald Arthur Harriman |
First Address | Muskegon, MI 49441-1694 |
Second Address | Muskegon, MI 49441-1694 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 06/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1739797 | (05) | MI |
E25913 | (02) |