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NPI Code Detail

MEDICARE: JOHN HENRY NORMAN HARRISON

MEDICARE: JOHN HENRY NORMAN HARRISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician125065152IL
2390200000XStudent in an Organized Health Care Education/Training Program
3207L00000XAnesthesiology Physician70654-20WI

General Provider Information

NPI Number : 1003236225
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN HENRY NORMAN HARRISON
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-1465
Country : US
Telephone Number : 608-263-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2014
Last Update Date : 01/19/2021

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