Individual
DR. JOSEPH THOMAS POTERUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060767
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55977
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
66891
WI
208000000X
Pediatrics Physician
125060767
IL
Other
Enumeration date
06/30/2009
Last updated
05/18/2021
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