Individual
DR. ARNOLD S POTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 65TH AVENUE, OSCEOLA, WI 54020-3024
(715) 294-2111
(715) 294-5758
Mailing address
PO BOX 218, 2600 65TH AVENUE, OSCEOLA, WI 54020-3024
(715) 294-2111
(715) 294-2111
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19145
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19145
STATE MEDICAL LICENSE
WI
05
—
31160200
—
WI
05
—
406870000
—
MN
Enumeration date
05/08/2006
Last updated
10/21/2010
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