Individual
MRS. MELANIE LYNN POTACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1222 E WOODLAND AVE, BARRON, WI 54812-1765
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2333-023
WI
363AM0700X
Medical Physician Assistant
2333-023
WI
Other
Enumeration date
05/20/2008
Last updated
09/10/2020
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