Individual
SHELBY MARIE POTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2020
Mailing address
2456 248TH ST, LOMITA, CA 90717-1515
(831) 332-7168
(562) 206-2507
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
74023
MN
207W00000X
Ophthalmology Physician
Primary
A206239
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
05/06/2026
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