Individual
WILLIAM PHILLIP POTTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 6TH ST, SUITE 306, TRAVERSE CITY, MI 49684-2359
(231) 935-2400
(231) 935-2424
Mailing address
1221 6TH ST, SUITE 306, TRAVERSE CITY, MI 49684-2359
(231) 935-2400
(231) 935-2424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
WP049827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4254412
—
MI
Enumeration date
08/24/2005
Last updated
03/10/2008
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