Individual
DR. MICHAEL JAMES POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447
(763) 559-3779
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
63422
MN
207L00000X
Anesthesiology Physician
65345-20
WI
Other
Enumeration date
04/05/2014
Last updated
07/18/2018
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