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Dr. Roger Stanley Harris

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NPI Number Detailed Information

Provider Information:

Name: Dr. Roger Stanley Harris
Gender: M
Provider License Number If Given: 5101007120

NPI Information:

NPI: 1730188269
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 4/23/2018

Provider Business Mailing Address:

Address: 39880 VAN DYKE AVE STE 202
Sterling Heights, MI 48313
Phone Number: 5862647930
Fax Number: 5862647931

Provider Business Practice Location Address:

Address: 39880 VAN DYKE AVE STE 202
Sterling Heights, MI 48313
Phone Number: 5862647930
Fax Number: 5862647931

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MI

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