Individual
IOANNIS POTHOULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
110 IRVING ST. NW, WASHINGTON, DC 20010
(202) 877-8278
(202) 877-6292
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
05/03/2025
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