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Individual

SUSAN WHITEHEAD POTTER

Active
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Individual

SUSAN WHITEHEAD POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000206
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E01107
BLUE SHIELD
01
540E00292
MICHIGAN BLUE SHIELD
MI
Enumeration date
07/22/2008
Last updated
07/25/2014
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