Doctor Name: | MR. PAUL W HARRIS |
NPI Number: | 1205873882 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 46166 |
Business Practice Address: | 3267 S 16tj Street Room 200 Milwaukee, WI - 532154500 |
Business Phone Number: | 4143893111 |
Business Fax Number: | 4143893110 |
Mailing Address: | 3267 S 16th Street, Room 200 MILWAUKEE |
State: | WI |
Postal Code: | 532154500 |
Phone Number: | 4143893111 |
Fax Number: | 4143893110 |
NPI Enumeration Date: | 06/01/2006 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 46166 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |