Individual
RANDALL R POTTEBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
14000 FAIRVIEW DR, PARK NICOLLET CLINIC BURNSVILLE, BURNSVILLE, MN 55337-5713
(952) 993-8608
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-6450
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
55
MN
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us