Individual
DR. JEROME F POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408-4708
(612) 873-8080
(612) 545-9259
Mailing address
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408-4708
(612) 873-8080
(612) 545-9259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781787800
—
MN
Enumeration date
06/26/2006
Last updated
09/20/2012
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