Individual
THOMAS ROBERT POTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 OTTAWA AVE NW, GRAND RAPIDS, MI 49503-1431
(616) 732-6204
Mailing address
945 OTTAWA AVE NW, GRAND RAPIDS, MI 49503-1431
(616) 732-6204
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301102809
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301102809
MI
Other
Enumeration date
05/15/2013
Last updated
06/28/2016
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