Most Relevant Information
Provider Data
| NPI Number: | 1003666454 |
| Provider Name: | MARY CLAIRE POTTER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2024 |
| Last Updated: | 03/26/2024 |
Provider Practice Location
999 N 92ND ST STE 730
MILWAUKEE
WI
532264875
Practice Location Phone/Fax
| Phone: | 4142666800 |
| Fax: |
Provider Mailing Location
999 N 92ND ST STE 730
MILWAUKEE
WI
532264875
Provider Mailing Phone/Fax
| Phone: | 4142666800 |
| Fax: |