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Individual

DAVID A POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
420 DELAWARE ST SE, MMC 480, MINNEAPOLIS, MN 55455-0341
(612) 625-8933
(612) 624-1443

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01052675
IN
207RH0003X
Hematology & Oncology Physician
Primary
49214
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200295760
IN
Enumeration date
04/24/2006
Last updated
01/18/2024
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