Individual
MRS. KATHERINE MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3600 ONEIL DR, JACKSON, MI 49202-1857
(517) 788-6104
(517) 788-6106
Mailing address
1122 ARMS ST, APARTMENT 14, MARSHALL, MI 49068-2123
(517) 980-0837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004526
MI
Other
Enumeration date
07/31/2009
Last updated
10/14/2010
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