Individual
RACHEL POTEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 W. 13 MILE RD, 400 FSC-PCS, ROYAL OAK, MI 48073-6769
(248) 423-2481
Mailing address
3601 W. 13 MILE RD, 400 FSC-PCS, ROYAL OAK, MI 48073-6769
(248) 423-2481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704216982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304364420
BCBSC
MI
05
—
4547577
—
MI
Enumeration date
03/02/2006
Last updated
07/28/2015
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