Individual
CHRISTOPHER W POTTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 465-2571
Mailing address
PO BOX 9040, ALTON, IL 62002-9040
(618) 462-0499
(618) 462-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00449454
RR MEDICARE
—
Enumeration date
08/24/2006
Last updated
03/18/2008
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