Individual
DR. MICHAEL W POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 DEAN DR, CENTRAL POINT, OR 97502-9706
(541) 944-1490
(541) 664-8291
Mailing address
100 DEAN DR, CENTRAL POINT, OR 97502-9706
(541) 944-1490
(541) 664-8291
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
10071
ND
207T00000X
Neurological Surgery Physician
5552
SD
207T00000X
Neurological Surgery Physician
Primary
MD19851
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079835
—
OR
05
—
XPY187234
—
CA
Enumeration date
07/21/2005
Last updated
08/23/2013
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