Individual
TIMOTHY JOSEPH POTERUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
265223
MA
207R00000X
Internal Medicine Physician
288886
NY
207RC0000X
Cardiovascular Disease Physician
288886
NY
207RC0000X
Cardiovascular Disease Physician
Primary
78093
MN
Other
Enumeration date
06/07/2013
Last updated
12/30/2024
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