Individual
LAURA M POTHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8100 42ND AVE N, NEW HOPE, MN 55427-1107
(762) 581-5700
Mailing address
1240 S 2ND ST UNIT 106, MINNEAPOLIS, MN 55415-2603
(952) 239-7980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14182
MN
363A00000X
Physician Assistant
4211-23
WI
Other
Enumeration date
09/27/2017
Last updated
09/28/2023
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