Individual
MADISON POTEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Mailing address
11651 BLOOMFIELD AVE, WARREN, MI 48089-1264
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
11/10/2018
Last updated
08/09/2021
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