Individual
DR. KIREETI POTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 N MAIN ST, SUITE 207, MOUNT CLEMENS, MI 48043-5644
(586) 203-8955
Mailing address
29756 CITATION CIR, APT. 31204, FARMINGTON HILLS, MI 48331-5893
(713) 657-5012
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
4301094041
MI
174400000X
Specialist
4301094041
MI
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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