Provider Demographics
NPI:1811967334
Name:HARB, JOHN FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FREDERICK
Last Name:HARB
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:39000 7 MILE RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1006
Mailing Address - Country:US
Mailing Address - Phone:734-462-5858
Mailing Address - Fax:734-462-5860
Practice Address - Street 1:39000 7 MILE RD STE 2500
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1006
Practice Address - Country:US
Practice Address - Phone:734-462-5858
Practice Address - Fax:734-462-5860
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJH061957208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI126793OtherCARE CHOICES ID NUMBER
MI340H249310OtherBLUE CROSS
MI383468117OtherTAX ID
MI10/4105806Medicaid
MI17069OtherM-CARE ID NUMBER
MIJH061957OtherLICENSE NUMBER
MI3408276971OtherBLUE CARE NETWORK
MI5211703OtherAETNA
MI126793OtherPREFERRED CHOICES ID NUMB
MI340016693OtherRAILROAD MEDICARE
MI340H249310OtherBLUE CROSS