Individual
CAROL WILTSE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2448 S 102ND ST, SUITE 270, WEST ALLIS, WI 53227-2466
(414) 543-9600
(414) 543-9601
Mailing address
2448 S 102ND ST, SUITE 270, WEST ALLIS, WI 53227-2466
(414) 543-9600
(414) 543-9601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28417
WI
Other
Enumeration date
09/01/2006
Last updated
04/17/2009
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