Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JEFFREY HARRISON
ActiveMICHAEL JEFFREY HARRISON is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in PORTAGE, Michigan. NPI 1972006914 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · PORTAGE, MI
Registration Details
- NPI Number
- 1972006914
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2018 (8.4466274324391 yrs)
- Last Updated
- Oct 20, 2022
- Licenses
-
TEMPORARY (IL)2901601232 (MI)
Practice Information
- Address
-
3801 GLENKERRY CT STE 2PORTAGE, MI, 490240711Browse MI providers · Browse ZIP 49024
- Phone
- 2693231527
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.