Individual
DR. MAURICE BASIL POTTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20905 GREENFIELD RD STE 108, SOUTHFIELD, MI 48075-5344
(313) 551-3811
Mailing address
20905 GREENFIELD RD STE 108, SOUTHFIELD, MI 48075-5344
(313) 551-3811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065493
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4071987
—
MI
Enumeration date
11/14/2006
Last updated
02/21/2023
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