Individual
DR. STEPHEN J. POTEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 MOREY DR, MARYSVILLE, OH 43040-1646
(937) 209-3100
(937) 795-3155
Mailing address
112 MOREY DR, MARYSVILLE, OH 43040-1646
(937) 209-3100
(937) 795-3155
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35126347
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173734
—
OH
01
—
H500210
MEDICARE
OH
Enumeration date
01/04/2007
Last updated
01/21/2022
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