Individual
DR. TRACIE ILENE POTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6910
(989) 583-7436
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6910
(989) 583-7436
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301086001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315033621
CONTROLLED SUBSTANCE
MI
Enumeration date
10/03/2007
Last updated
03/26/2021
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