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Individual

JOEL POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
1131 IONIA AVE NW, GRAND RAPIDS, MI 49503-1020
(616) 259-7900
(616) 259-7909
Mailing address
1131 IONIA AVE NW, GRAND RAPIDS, MI 49503-1020
(616) 259-7900
(616) 259-7909

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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