Individual
JEANNETTE M POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5661
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35066717P
OH
208800000X
Urology Physician
Primary
35-066717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128632
—
OH
01
—
P00781713
MEDICARE RAILROAD
OH
Enumeration date
11/17/2006
Last updated
03/01/2010
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