IndividualActive
Michael Harrison
NPI 1972006914 · Oral & Maxillofacial Surgery (D.M.D.) · Portage, MI
Provider details
- NPI number
- 1972006914
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- TEMPORARY (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
3801 Glenkerry Ct Ste 2
Portage, MI 49024-0711
Phone: (269) 323-1527
Approximate (ZIP-level) locationGet directions
Mailing address
3801 Glenkerry Ct Ste 2
Portage, MI 49024-0711
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.