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Organization

CHARLES POTTER MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES POTTER MD (OWNER)
(262) 825-8984
Entity
Organization

Contact information

Practice address
3070 N 51ST ST STE P309, MILWAUKEE, WI 53210-1645
(414) 447-7330
(414) 447-1070
Mailing address
3070 N 51ST ST STE P309, MILWAUKEE, WI 53210-1645
(414) 447-7330
(414) 447-1070

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
41829
WI

Other

Enumeration date
02/13/2018
Last updated
02/13/2018
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