Individual
DENIS POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3815 PINE ORCHARD CIR, WATERFORD, MI 48329-3962
(248) 535-5720
Mailing address
3815 PINE ORCHARD CIR, WATERFORD, MI 48329-3962
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703081233
MI
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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