Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Philip Harris

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780046748

Philip Harris is a Family Practice in Milwaukee, Wisconsin. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2016, 10 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
WI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone: (414) 955-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 68297 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780046748
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2016 (10 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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