Individual
MARIANNE ERVIN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
25500 MEADOWBROOK RD STE 230, NOVI, MI 48375-1882
(248) 345-4175
(248) 692-4356
Mailing address
51291 MURRAY HILL DR, CANTON, MI 48187-1026
(248) 345-4175
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704195880
MI
Other
Enumeration date
07/29/2008
Last updated
05/03/2021
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