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Individual

ERIC E POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101241442
VA
2084N0400X
Neurology Physician
Primary
62014
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100038827
WI
Enumeration date
08/12/2006
Last updated
12/01/2021
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