Individual
TINA L POTOKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1380 TULLAR RD, NEENAH, WI 54956-4440
(920) 727-3480
(920) 727-3490
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 729-6484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10438
MN
363A00000X
Physician Assistant
Primary
3418
WI
Other
Enumeration date
07/16/2008
Last updated
05/20/2021
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