Individual
CHAD E POTTEIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3800 VENETIAN WAY, STE 200, NEWBURGH, IN 47630-8257
(812) 469-3283
(812) 469-3285
Mailing address
3800 VENETIAN WAY, NEWBURGH, IN 47630-8257
(812) 477-6103
(812) 477-4897
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02005826A
IN
207RG0100X
Gastroenterology Physician
DO1674
TN
207RG0100X
Gastroenterology Physician
DR0062881
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3319213
—
TN
Enumeration date
04/20/2006
Last updated
11/11/2021
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