Most Relevant Information
Provider Data
| NPI Number: | 1003448671 |
| Provider Name: | CHELSEA L HARRISON |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2020 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
6716 RAMBLEWOOD CT APT L
FORT WAYNE
IN
468351760
Practice Location Phone/Fax
| Phone: | 2693034473 |
| Fax: |
Provider Mailing Location
02925 38 50TH ST.
BLOOMINGDALE
MI
49026
Provider Mailing Phone/Fax
| Phone: | 2693034473 |
| Fax: |