| Angela L. Harris, M.d., P.c. | |
|
2950 W Outer Dr Detroit MI 48221-1750 | |
| (313) 586-7400 | |
| (313) 221-9124 |
| Full Name | Angela L. Harris, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2950 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Angela Lenell Harris (OWNER) |
| Authorized Official Contact | 3135867400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela L. Harris, M.d., P.c. Po Box 21893 Detroit MI 48221-0893 Ph: (313) 586-7400 | Angela L. Harris, M.d., P.c. 2950 W Outer Dr Detroit MI 48221-1750 Ph: (313) 586-7400 |
| NPI Number | 1467458257 |
|---|---|
| Provider Enumeration Date | 06/26/2005 |
| Last Update Date | 01/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467458257 | NPI | - | NPPES |
| 080H237420 | Other | MI | BCBSM |
| 1363702 | Other | FIRST HEALTH PLAN | |
| 5717471 | Other | AETNA | |
| 211296 | Other | ONE HEALTH PLAN/ GREAT-WEST HEALTHCARE | |
| 3395292 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301058258 (Michigan) | Primary |
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