Individual
AVA POTTSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
4230 DEER RUN DR, MEDINA, OH 44256-6112
(330) 241-8066
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.008416RX
OH
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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