Individual
MICHAEL FRANK POTNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
Mailing address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
8715
WI
363LG0600X
Gerontology Nurse Practitioner
8715
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
8715
WI
Other
Enumeration date
09/20/2018
Last updated
10/12/2020
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