Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 28581 | NE |
NPI | 1669616157 |
---|---|
Provider Name | Dr. John Michael Harbison |
First Address | Omaha, NE 68131 |
Second Address | Omaha, NE 68131-2136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 30/12/2016 |