Individual
MRS. WENDY JEAN POTRATZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
31365 WILD WING DR, CASS LAKE, MN 56633-3181
(218) 335-0053
Mailing address
31365 WILD WING DR, CASS LAKE, MN 56633-3181
(218) 335-0053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1344
MN
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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