Healthcare Provider Details

I. General information

NPI: 1487968368
Provider Name (Legal Business Name): ERIKA L HARDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 EAST MEDICAL CENTER DRIVE L1242 WOMENS, SPC 5204
ANN ARBOR MI
48109-5204
US

IV. Provider business mailing address

1500 EAST MEDICAL CENTER DRIVE L1242 WOMENS, SPC 5204
ANN ARBOR MI
48109-5204
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-4038
  • Fax: 734-936-9470
Mailing address:
  • Phone: 734-936-4038
  • Fax: 734-936-9470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301093770
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301093770
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: