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Individual

JAMES G POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3500 TOWER AVENUE, SUPERIOR, WI 54880-5335
(715) 817-7100
Mailing address
ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, 400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-1183

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3621-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018475
PREFERREDONE
05
42908100
WI
Enumeration date
07/12/2005
Last updated
08/09/2016
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