Healthcare Provider Details

I. General information

NPI: 1811967334
Provider Name (Legal Business Name): JOHN FREDERICK HARB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 7 MILE RD STE 2500
LIVONIA MI
48152-1006
US

IV. Provider business mailing address

39000 7 MILE RD STE 2500
LIVONIA MI
48152-1006
US

V. Phone/Fax

Practice location:
  • Phone: 734-462-5858
  • Fax: 734-462-5860
Mailing address:
  • Phone: 734-462-5858
  • Fax: 734-462-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberJH061957
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: