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Individual
SHAWN POTTEIGER
Active
Individual
SHAWN POTTEIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT015934
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
OS018386
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS018386
PA
Other
Enumeration date
04/30/2014
Last updated
03/05/2026
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