Dr. Joel J Harris
Dermatologist
27301 Dequindre Rd Ste 209
Madison Heights
, Michigan 48071
Dr. Joel J Harris
Dermatologist
27301 Dequindre Rd Ste 209
Madison Heights
, Michigan 48071
(248) 541-2304
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Joel J Harris
- 27301 Dequindre Rd Ste 209
- Madison Heights, MI
- Zip : 48071
- Fax : (248) 541-2304
- Phone : (248) 541-1500
Second Address
- Dr. Joel J Harris
- 27301 Dequindre Rd Ste 209
- Madison Heights, MI
- Zip : 48071
- Fax : (248) 541-2304
- Phone : (248) 541-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 5101006452 | MI |
National Provider Identifier
| NPI | 1053390591 |
|---|---|
| Provider Name | Dr. Joel J Harris |
| First Address | Madison Heights, MI 48071 |
| Second Address | Madison Heights, MI 48071 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2006 |
| Last Update Date | 24/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053390591 | (05) | MI |
| 700H273300 | BLUE SHIELD (01) | MI |
| E31581 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.