Provider Demographics
NPI:1689891582
Name:HARRIS, EBONIE ZIARRE (MD)
Entity Type:Individual
Prefix:DR
First Name:EBONIE
Middle Name:ZIARRE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:29877 TELEGRAPH RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1332
Mailing Address - Country:US
Mailing Address - Phone:248-223-9202
Mailing Address - Fax:248-223-9302
Practice Address - Street 1:29877 TELEGRAPH RD
Practice Address - Street 2:SUITE 304
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1332
Practice Address - Country:US
Practice Address - Phone:248-223-9202
Practice Address - Fax:248-223-9302
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301081850207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology